Diffuse large-cell lymphoma of the nasolacrimal sac.
A 63-year-old woman was referred for consultation with a clinical picture of lacrimal sac obstruction. The presence of a noncompressible mass and patency on irrigation suggested a nasolacrimal sac tumour. At biopsy a frozen section was interpreted as being consistent with lymphoma. Examination of permanent histologic sections confirmed the diagnosis of diffuse large-cell lymphoma. Postoperatively, after complete investigation and staging, the isolated extranodal lymphoma was treated with radiation therapy. Non-Hodgkin's lymphoma limited to the lacrimal sac is rare. Its management is discussed.
Jordan
D R
DR
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City 52242.
Nerad
J A
JA
D001706:Biopsy; D003608:Dacryocystorhinostomy; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008223:Lymphoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D014057:Tomography, X-Ray Computed