Nasolacrimal duct obstruction caused by an oncocytoma

We report the case of a woman with epiphora and purulent rhinorrhea for which she initially underwent a dacryocystorhinostomy. The unilateral rhinorrhea was persistent and one year later an oncocytoma of the lacrimal sac with extension to the nasolacrimal duct was diagnosed. Surgical excision of the...

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Bibliographic Details
Published in:	Rhinology Vol. 40; no. 3; pp. 165 - 167
Main Authors:	de Bree, Remco, Scheeren, Robert A, Kummer, Allain, Tiwari, Rammohan M
Format:	Journal Article
Language:	English
Published:	Netherlands 01-09-2002
Subjects:	Adenoma, Oxyphilic - complications Adenoma, Oxyphilic - diagnosis Adenoma, Oxyphilic - pathology Adenoma, Oxyphilic - surgery Biopsy, Needle Dacryocystorhinostomy Female Follow-Up Studies Humans Immunohistochemistry Lacrimal Apparatus Diseases - complications Lacrimal Apparatus Diseases - diagnosis Lacrimal Apparatus Diseases - pathology Lacrimal Apparatus Diseases - surgery Lacrimal Duct Obstruction - etiology Lacrimal Duct Obstruction - pathology Middle Aged Nasal Cavity - diagnostic imaging Nasal Cavity - pathology Nasolacrimal Duct - pathology Tomography, X-Ray Computed Treatment Outcome
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Summary:	We report the case of a woman with epiphora and purulent rhinorrhea for which she initially underwent a dacryocystorhinostomy. The unilateral rhinorrhea was persistent and one year later an oncocytoma of the lacrimal sac with extension to the nasolacrimal duct was diagnosed. Surgical excision of the tumour via a medial maxillectomy was accomplished. Long-term follow-up for 10 years was without evidence of recurrence. To our knowledge only 22 oncocytomas of the lacrimal sac but none involving the duct have so far been reported. In patients with acquired nasolacrimal duct obstruction a lacrimal sac or nasolacrimal duct tumour though rare is a possibility and should be kept in mind. The majority of these tumours are malignant and oncocytomas may undergo malignant transformation.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0300-0729