J Korean Ophthalmol Soc.
2006 Sep;47(9):1486-1490.
Primary Rhabdomyosarcoma of the Lacrimal Sac in a 68-year-old Woman
- Affiliations
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- 1Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggido, Korea. ljy690725@hanmail.net
Abstract
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PURPOSE: Rhabdomyosarcoma of the lacrimal sac is extremely rare. There has only been one case in this country, during the 30s, and to our knowledge, there are no reports of primary rhabdomyosarcoma on the lacrimal sac. We report a case of primary rhabdomyosarcoma of the lacrimal sac in a 68-year-old woman
METHODS
A 68-year-old female patient presented with tearing of the right eye. A lacrimal sac mass extending to the proximal nasolacrimal duct was detected during the dacryocystorhinostomy, and incisional biopsy was performed. Histopathology revealed a rhabdomyosarcoma of the right lacrimal sac. After systemic chemotherapy, complete excision of the tumor through the medial maxilla was performed.
RESULTS
The pathologic diagnosis of the excised mass was embryonal type rhabdomyosarcoma. There was no evidence of tumor recurrence in the lacrimal sac or paranasal sinus during 9 months of follow-up.
CONCLUSIONS
Although rhabdomyosarcoma is very uncommon, this case provides the rationale for including it in differential diagnosis of a mass in lacrimal sac.
