The pitfall of dacryostenosis.
We examined a 65-year-old woman with complaints of epiphora, which was diagnosed as due to dacryostenosis. After she had undergone dacryocystorhinostomy for this presumed condition, we discovered a large mass protruding through the incision. A biopsy showed anaplastic carcinoma, and a CT scan revealed that the right-side sinuses were filled with tumor. We conclude that the possibility of paranasal sinus tumors should at least be considered before initiating treatment for complaints of epiphora in elderly patients.
Zehavi
C
C
Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, Israel.
Zadok
J
J
Sachs
D
D
D000368:Aged; D003608:Dacryocystorhinostomy; D005260:Female; D006801:Humans; D007767:Lacrimal Duct Obstruction / Q000209:etiology*; D010255:Paranasal Sinus Neoplasms / Q000150:complications*