A case of recurrent Schneiderian papilloma of the lacrimal sac invading the nasal cavity.
A 44-year-old man presented with a history of chronic epiphora, discharge from the right eye, and a palpable mass in the medial canthal area. Irrigation of the lacrimal system revealed bloody discharge. Orbital magnetic resonance imaging (MRI) showed a well-defined heterogeneous enhanced mass filling the lacrimal sac and upper nasolacrimal duct (NLD). A wide excision and surgical biopsy were performed. Histopathology showed the tumor to be an exophytic Schneiderian papilloma with moderate to severe dysplasia. Three months later, the mass was found to be invading the nasal cavity through the NLD. Endoscopic histopathological evaluation confirmed that it was identical to the originally identified papilloma.
Jang
Ji Hye
JH
Department of Ophthalmology, Dongsan Medical Center, Keimyung University, Daegu, Korea.
Chang
Sung Dong
SD
Choe
Mi Sun
MS
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D004724:Endoscopy; D005134:Eye Neoplasms / Q000473:pathology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009297:Nasal Mucosa / Q000473:pathology*; D009361:Neoplasm Invasiveness / Q000473:pathology*; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery; D009669:Nose Neoplasms / Q000473:pathology* / Q000601:surgery; D010212:Papilloma / Q000473:pathology* / Q000601:surgery