title: Epiphora as a presenting sign of angioleiomyoma of the lacrimal sac.
abstract: A 50-year-old man presented with progressive enlargement of a right medial canthal mass for 5 years. The patient subsequently noted epiphora of 6-month duration on the affected side. An anterior orbitotomy was performed, which uncovered a well-circumscribed mass in the lacrimal sac. Histologic sections of the mass revealed an angioleiomyoma. Following complete excision, the epiphora resolved and there is no evidence of tumor recurrence at 1 year of follow-up. To the best of our knowledge, this is the first report of an angioleiomyoma in the lacrimal sac.
authors.affiliation: Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, University of California, San Diego School of Medicine, La Jolla, California, USA.
authors.forename: Bobby S
authors.initials: BS
authors.lastname: Korn
authors.forename: Ben J
authors.initials: BJ
authors.lastname: Glasgow
authors.forename: Don O
authors.initials: DO
authors.lastname: Kikkawa
mesh_terms: D018229:Angiomyoma / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D005134:Eye Neoplasms / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013666:Tears / Q000378:metabolism