Multiple myeloma presenting in the lacrimal sac.
OBJECTIVE
To report an unusual case of multiple myeloma presenting with bilateral tearing secondary to lacrimal sac involvement.


METHODS
Observational single case report.


METHODS
An 83-year-old woman presented with bilateral tearing secondary to infiltrative lesions of the lacrimal sacs. A biopsy was performed; findings confirmed the diagnosis of multiple myeloma.


RESULTS
The lacrimal sac fossa lesions responded to chemotherapy and local radiation. The patient subsequently developed multiple systemic recurrences, ultimately leading to her death.


CONCLUSIONS
Multiple myeloma should be included in the differential diagnosis of lacrimal sac lesions.
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, MO 63110, USA.
Shilpi
S
Pradhan
Philip L
PL
Custer
D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005134:Eye Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D009101:Multiple Myeloma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D011878:Radiotherapy; D014057:Tomography, X-Ray Computed
D000970:Antineoplastic Agents