Bilateral lymphocytic infiltrates causing dacryostenosis after bilateral successful dacryocystorhinostomies.
A 73-year-old woman with a history of chronic lymphocytic leukemia had bilateral dacryocystorhinostomies for bilateral chronic dacryocystitis. The procedures were performed 7 months apart. Twenty-four months after the first dacryocystorhinostomy on the left side, the patient developed a mass in the area of the left lacrimal sac causing epiphora. A repeat dacryocystorhinostomy revealed a lymphocytic infiltrate causing the left dacryostenosis. Thirty-three months after the right dacryocystorhinostomy, the patient developed a right dacryostenosis with epiphora and no mass. Pathology specimens obtained during a repeat dacryocystorhinostomy on the right side revealed a similar lymphocytic infiltrate. This case is an unusual presentation of solid lymphoma in a traumatized area in a patient with chronic lymphocytic leukemia.
Slonim
C B
CB
Oculoplastic Service, University of South Florida College of Medicine, Tampa.
Older
J J
JJ
D000368:Aged; D002908:Chronic Disease; D003607:Dacryocystitis / Q000150:complications / Q000601:surgery*; D003608:Dacryocystorhinostomy / Q000009:adverse effects*; D005134:Eye Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology* / Q000532:radiotherapy; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000532:radiotherapy; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000532:radiotherapy; D008214:Lymphocytes; D019736:Prostheses and Implants; D013666:Tears / Q000378:metabolism; D014057:Tomography, X-Ray Computed