Primary small B cell non-Hodgkin Lymphoma of the Lacrimal Sac Upon Chronic Dacryocystitis
Abstract
Primary non-Hodgkin lymphoma of the lacrimal sac is an extremely rare tumor. In this article, we report a 44-year-old female who was referred for dacryocystorhinostomy with complaints of epiphora and swelling on the right lacrimal sac region. She had slight epiphora for 8 years, which increased within 6 months, with concomitant swelling between the eye and the nose. A hard and fixed mass was detected on palpation just below the medial canthus. Magnetic resonance imaging showed a 30x35 mm tumoral, lesion which invaded the medial wall of the right orbit and compressed the medial rectus muscle. Histopathologic examination of the tumor revealed a small B cell non-Hodgkin lymphoma. As a conclusion, we suggest that if symptoms of a chronic dacryocystitis patient deteriorates, malignancy should be suspected
Keywords
References
- Carlin R, Henderson JW. Malignant lymphoma of the nasolacrimal sac. Am J Ophthalmol. 1974;78:511–3.
- Malinvaud D, Badoual C, Rubio MT, Halimi P, Bonfils P. Extraosseous plasmacytoma of the lacrimal duct. B-ENT. 2012;8:285-8.
- Parmar DN, Rose GE. Management of lacrimal sac tumours. Eye 2003; 17:599- 606.
- L D Sjö, E Ralfkiaer, B R Juhl, J U Prause, T Kivelä, C Auw‐Haedrich, et al. Primary lymphoma of the lacrimal sac: an EORTC ophthalmic oncology task force study. Br J Ophthalmol. 2006; 90:1004–9.
- Erickson BA, Massaro BM , Mark LP , Harris GJ. Lacrimal collecting system lymphomas: integration of magnetic resonance imaging and therapeutic irradiation. Int J Radiat Oncol Biol Phys. 1994; 29:1095-1103.
- Gatter KC, Warnke RA. Intravascular large B-cell lymphoma. In: Jaffe ES, Harris NL, Stein H, et al, eds. Pathology and Genetics of Tumours of Hematopoietic and Lymphoid Tissues. Lyon, France: IARC Press: 2001; 177-178. World Health Organization Classification of Tumours.
- Isaacson PG, Berger F, Muller-Hermeling HK, et al. Extra nodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). In: Jaffe ES, Harris NL, Stein H, et al. World Health Organization classification of tumours. Pathology and genetics of tumours of haematopoietic and lymphoid tissues. Lyons: IARC Press. 2001:157–60.
- Miller TP, Dahlberg S, Cassady JR, et al. Chemotherapy alone compared with chemotherapy plus radiotherapy for localized intermediate- and high-grade non-Hodgkin's lymphoma. N Engl J Med. 1998; 339:21-26.
Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
July 15, 2016
Submission Date
May 23, 2016
Acceptance Date
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Published in Issue
Year 2016 Volume: 3 Number: 7