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Updated: May 26, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Fibromyxoma masquerading as dacryocystitis.
Arindel S R Maharaj1, Seongmu Lee, Michael T Yen
1Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas 77030 , USA.
Ophthalmic Plastic and Reconstructive Surgery
|December 22, 2011
Summary
This case report details a rare fibromyxoma of the lacrimal sac, a non-epithelial tumor. Surgical excision successfully treated the patient
Area of Science:
- Ophthalmology
- Pathology
Background:
- Primary lacrimal sac tumors are rare, typically epithelial.
- Fibromyxomas are uncommon soft tissue tumors.
Observation:
- An 86-year-old woman presented with lower eyelid edema, purulent discharge, epiphora, and pain.
- A palpable mass in the lacrimal sac was noted, expressing purulent discharge.
Findings:
- Surgical excision revealed a firm, rubbery, yellow mass.
- Histopathology confirmed a fibromyxoma with myxoid changes, positive for vimentin and weakly for smooth muscle actin.
- Immunostaining ruled out other spindle cell tumors.
Implications:
- This case highlights fibromyxoma as a rare, non-epithelial tumor of the lacrimal sac.
- Successful surgical management resolved symptoms of dacryocystitis.
- Adds to the literature on rare lacrimal sac tumors.
