Korean J Ophthalmol.  2009 Jun;23(2):100-103. 10.3341/kjo.2009.23.2.100.

A Case of Recurrent Schneiderian Papilloma of the Lacrimal Sac Invading the Nasal Cavity

Affiliations
  • 1Department of Ophthalmology, Dongsan Medical Center, Keimyung University, Daegu, Korea. changsd@dsmc.or.kr
  • 2Department of Pathology, Dongsan Medical Center, Keimyung University, Daegu, Korea.

Abstract

A 44-year-old man presented with a history of chronic epiphora, discharge from the right eye, and a palpable mass in the medial canthal area. Irrigation of the lacrimal system revealed bloody discharge. Orbital magnetic resonance imaging (MRI) showed a well-defined heterogeneous enhanced mass filling the lacrimal sac and upper nasolacrimal duct (NLD). A wide excision and surgical biopsy were performed. Histopathology showed the tumor to be an exophytic Schneiderian papilloma with moderate to severe dysplasia. Three months later, the mass was found to be invading the nasal cavity through the NLD. Endoscopic histopathological evaluation confirmed that it was identical to the originally identified papilloma.

Keyword

Lacrimal sac; Recurrent exophytic papilloma; Schneiderian papilloma

MeSH Terms

Adult
Biopsy
Diagnosis, Differential
Endoscopy
Eye Neoplasms/*pathology/surgery
Follow-Up Studies
Humans
Lacrimal Apparatus/*pathology
Magnetic Resonance Imaging
Male
Nasal Mucosa/*pathology
Neoplasm Invasiveness/*pathology
Neoplasm Recurrence, Local/*pathology/surgery
Nose Neoplasms/*pathology/surgery
Papilloma/*pathology/surgery
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