Primary non Hodgkin's lymphoma of the lacrimal sac.
BACKGROUND
Primary Non Hodgkin's Lymphoma (NHL) of the lacrimal sac is rare.


METHODS
The clinical features of a 78 year old female who presented with epiphora and swelling of the left lacrimal sac are described.


RESULTS
Computerised tomography showed a mass involving the left lacrimal sac. Histopathological examination revealed a diffuse large B cell NHL. Immunohistological examination demonstrated B cell origin. Chemotherapy could not be administered due to co morbid conditions. The patient was treated with radiotherapy to a dose of 45 Gy in 25 fractions. Patient is disease free and on follow up after 36 months.


CONCLUSIONS
Primary radiotherapy is a treatment option with curative potential for localized NHL of the lacrimal sac and may be considered in patients who cannot tolerate appropriate chemotherapy.
Venkitaraman
Ramachandran
R
Division of Medical Oncology, Royal Darwin Hospital, Casuarina, Australia. doctormathewkgeorge@yahoo.co.in.
George
Mathew K
MK