J Korean Ophthalmol Soc.  2003 Aug;44(8):1914-1918.

A Case of Squamous Cell Carcinoma of the Lacrimal Sac

• Lee KC
• Kwon S
• Baek SH

Abstract

PURPOSE
To report a case of squamous cell carcinoma of lacrimal sac which has never been reported in Korea so far to our knowledge. METHODS: A 55-year-old male who had a history of epiphora for three years and palpable mass along the inferomedial aspect of the right medial canthus for 3months underwent surgical excision of the mass and dacryocystorhinostomy, and postoperative adjuvant radiation therapy was followed after surgical excision. RESULTS: Pathologic diagnosis of the excised mass was well differentiated squamous cell carcinoma. There is no evidence of recurrence until postoperative 9 months and the patient shows good clinical course with normal visual acuity. CONCLUSIONS: Despite its lower incidence, primary tumor of the lacrimal sac is usually malignant with high tendency of recurrence and fatality. Clinician should have a high suspicion of this disease on the patients who have epiphora and lacrimal sac mass, and perform early surgical excision and pathologic diagnosis. In this study, we experienced a rare case of squamous cell carcinoma of lacrimal sac.

Keyword

Lacrimal sac; Squamous cell carcinoma

MeSH Terms

Carcinoma, Squamous Cell*
Dacryocystorhinostomy
Diagnosis
Humans
Incidence
Korea
Lacrimal Apparatus Diseases
Male
Middle Aged
Recurrence
Visual Acuity