Tumors of the Lacrimal Sac: A Clinicopathological Analysis of 82 Cases

Ni, Chuo; D’Amico, Donald J.; Fan, Chi Quan; Kuo, Ping Kuan

doi:10.1097/00004397-198202210-00010

Cited by 150 publications

(139 citation statements)

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“…Epiphora is the most common clinical sign of lacrimal sac tumors (1)(2)(3)(4) . These tumors may also present as masses in the canthal area.…”

Section: Discussionmentioning

confidence: 99%

“…The most common malignant tumors affecting the lacrimal sac are of the epithelial type, with squamous subtype having the highest incidence within this group. ACC is an extremely unusual entity in the lacrimal drainage system (1,2,4) . ACC is slow-growing (6,7) but has a tendency for perineural invasion and spread to adjacent tissues, such as the bone (4,8) .…”

Section: Discussionmentioning

confidence: 99%

“…Radiological studies with DCG, Computed Tomography (CT)-DCG, CT, and magnetic resonance imaging are essential in ruling the possibility of a lacrimal sac tumor (1,5) . In any case, pathological examinations are required for a definitive diagnosis of lacrimal sac tumor (4) .…”

Section: Discussionmentioning

confidence: 99%

“…As the most common signs of lacrimal sac tumors are epiphora or presence of a mass, the process can be incorrectly diagnosed as dacryostenosis or chronic dacryocystitis (DC) (1)(2)(3)(4) . Consequently, definitive diagnosis is delayed leading to worsened prognosis (5) .…”

Section: Introductionmentioning

confidence: 99%

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Adenoid cystic carcinoma of the lacrimal sac: case report

Ramos¹,

Pozo²,

Chinchurreta³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Lacrimal sac tumors are rare with a clinical presentation that typically includes obstruction of the lacrimal drainage system and epiphora as the most frequent symptom. Cribriform adenoid cystic carcinoma (ACC) is the most common malignant epithelial tumor of the lacrimal gland and minor salivary glands; however, its occurrence in the lacrimal drainage apparatus is extremely rare. Given the rarity of ACC, definitive diagnosis is almost invariably late conferring a poor prognosis. Herein we report the case of a 41-year-old woman with primary ACC of the lacrimal sac and describe the ophthalmological examination, diagnosis, and multidisciplinary treatment of this rare type of tumor. Keywords

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“…Epiphora is the most common clinical sign of lacrimal sac tumors (1)(2)(3)(4) . These tumors may also present as masses in the canthal area.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adenoid cystic carcinoma of the lacrimal sac: case report

Ramos¹,

Pozo²,

Chinchurreta³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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“…Approximately 700 cases of lacrimal sac tumors have been reported in the literature. [1][2][3][4][5][6][7] Stefanyszyn et al reviewed six series of lacrimal sac tumors, which included 255 cases, and added 115 new cases in 1993. 5) Since the report of Stefanyszyn et al, there has been only two series report of 15 and 10 lacrimal sac tumors.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of Lacrimal Sac Tumors: Report of Ten Cases

et al. 2017

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Background and Objectives:To review our experience with lacrimal sac tumors in an effort to identify features, to evaluate the results of various methods of management, and to compare our data with previous studies. Methods: We reviewed the medical records of all patients with lacrimal sac tumors who were managed in our institution between January 1990 and December 2015. The pre-operative clinical data, imaging, operation notes, and follow-up records were reviewed for each patient. Results: The study group consisted of four men and six women with a mean age of 47.6 years. Most patients experienced long-standing epiphora, for a mean period of 20 months. Two of the tumors were benign, and eight of them were malignant. The benign tumors were treated with dacryocystectomy. All but one malignant tumor were treated with medial or total maxillectomy. Adjuvant radiotherapy was administered to four patients with malignant tumors. In the eight patients with malignant tumors, the mean follow-up period was 65 months. Conclusions: Important characteristics of lacrimal sac tumors include dacryocystitis, epiphora, and in some cases, a palpable medial canthal area mass. Wide en bloc resection via medial or total maxillectomy and/or postoperative radiotherapy are proper treatments for malignant lesions of the lacrimal sac.KEY WORDS: Nasolacrimal systemㆍLacrimal sac tumorㆍLacrimal sac carcinoma.

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