title: Primary non-Hodgkins lymphoma of the lacrimal sac: mortality-related epiphora.
abstract: We report a case of primary non-Hodgkins lymphoma of the lacrimal sac in a 60-year-old Asian lady, who presented with persistent epiphora and recurrent medial canthal swelling. Primary lymphoma of the lacrimal sac is rare and it can be easily misdiagnosed. Delayed in diagnosis may be related to mortality. To minimize the risk of overlooking specific pathology it is important to assess the appearance of the lacrimal sac and its surrounding structures intraoperatively. Biopsy of the lacrimal sac is required in cases where specific pathology is suspected.
authors.affiliation: MBBS (Manipal, India), Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
authors.forename: Kodisvary R
authors.initials: KR
authors.lastname: Maharajah
authors.forename: Adil
authors.initials: A
authors.lastname: Hussein
authors.forename: Hazama
authors.initials: H
authors.lastname: Mohamad
authors.forename: Shamim A
authors.initials: SA
authors.lastname: Khan
authors.forename: Liza-Sharmini
authors.initials: LS
authors.lastname: At
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D003608:Dacryocystorhinostomy; D005134:Eye Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology / Q000401:mortality*; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008875:Middle Aged; D009301:Nasolacrimal Duct
chemical_list: D000970:Antineoplastic Agents