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Lacrimal sac lymphoproliferative lesion: case report
I Coloma-González1, L Ruíz-García1, A Ceriotto1
1Servicio de Párpados, Órbita y Vía Lagrimal, Asociación para evitar la Ceguera IAP, Hospital Dr. Luis Sánchez Bulnes, México DF, México.
Archivos De La Sociedad Espanola De Oftalmologia
|December 3, 2014
Summary
A rare lacrimal sac tumor presented as a medial canthus mass in a 51-year-old woman. Initial diagnosis was reactive lymphoid hyperplasia, highlighting diagnostic challenges for these uncommon orbital neoplasms.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Lacrimal sac tumors are rare orbital neoplasms.
- They typically present in the fifth decade of life.
- Clinical presentation often mimics benign conditions like nasolacrimal duct obstruction.
Observation:
- A case of a 51-year-old woman with a five-year history of a firm mass at the medial canthus of the right eye is presented.
- The mass was initially diagnosed as reactive lymphoid hyperplasia via excisional biopsy.
Findings:
- Lacrimal sac tumors are infrequent, with a peak incidence in the fifth decade.
- Common initial symptoms include epiphora and medial canthus swelling.
- A significant proportion (up to 40%) may be misdiagnosed pre-operatively due to resembling nasolacrimal duct obstruction.
Implications:
- Highlights the importance of considering rare orbital tumors in the differential diagnosis of medial canthus masses.
- Emphasizes the potential for misdiagnosis of lacrimal sac tumors, necessitating thorough evaluation.
- Suggests the need for increased awareness among clinicians regarding the varied presentations of lacrimal sac malignancies.
