Transitional cell carcinoma of the lacrimal sac

Lacrimal sac tumor is a rare tumor, for which we do not know the exact incidence. Malignant tumors account for 70% of all cases. Epithelial tumors are the most common pathological type and squamous cell carcinoma is the most common of these, a transitional cell carcinoma is rare and has a poor progn...

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Bibliographic Details
Published inJournal of the Medical Association of Thailand Vol. 88 Suppl 9; p. S138
Main Authors Preechawai, Passorn, Della Roccad, Robert C, Della Rocca, David, Schaefer, Steven, McCormack, Steven
Format Journal Article
LanguageEnglish
Published Thailand 01.11.2005
Subjects
Biopsy, Needle
Carcinoma, Transitional Cell - diagnosis
Carcinoma, Transitional Cell - pathology
Dacryocystorhinostomy - methods
Diagnosis, Differential
Eye Neoplasms - pathology
Eye Neoplasms - surgery
Female
Follow-Up Studies
Humans
Immunohistochemistry
Lacrimal Apparatus - pathology
Lacrimal Duct Obstruction - diagnosis
Middle Aged
Neoplasm Staging
Rare Diseases
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Lacrimal sac tumor is a rare tumor, for which we do not know the exact incidence. Malignant tumors account for 70% of all cases. Epithelial tumors are the most common pathological type and squamous cell carcinoma is the most common of these, a transitional cell carcinoma is rare and has a poor prognosis. The authors report a rare case of transitional cell carcinoma of the lacrimal sac. A 57-year-old woman had tearing on her right eye. The pre-operative diagnosis was possible nasolacrimal duct obstruction with signs of dacryocele. Intraoperatively the authors found a lacrimal mass and a frozen section showed squamous papilloma with dysplasia. The tumor was completely removed and DCR was done. The subsequent pathological report of the right lacrimal sac was papillary transitional cell carcinoma, so medial maxillectomy and resection of the medial inferior orbit with ethmoidectomy were performed. She received radiation and has been tumor-free for 2 years.
ISSN:0125-2208