Nasolacrimal duct oncocytoma: an unusual cause of chronic epiphora.
Epiphora has traditionally fallen under the purview of ophthalmologists. However, owing to the development of endoscopic dacryocystorhinostomy, this condition has been increasingly observed in otolaryngologic practice. We report the case of a woman with a 4-month history of right epiphora and dacryocystitis. Nasal endoscopy revealed the presence of a tumor at the inferior meatus. Histopathologic examination of a biopsy specimen identified the tumor as an oncocytoma. Surgical excision via a lateral rhinotomy approach was performed. At 3 years postoperatively, the patient was disease-free. Lacrimal sac and nasolacrimal duct tumors are rare, but they should be considered as a possible etiology in patients with acquired epiphora because most of these tumors are malignant.
Delas
Benoît
B
Department of Otolaryngology-Head and Neck Surgery, Rouen University Hospital, Rouen, France.
Bertrand
Marine
M
Babin
Emmanuel
E
François
Arnaud
A
Marie
Jean-Paul
JP
Dehesdin
Danièle
D
Choussy
Olivier
O
D018249:Adenoma, Oxyphilic / Q000150:complications* / Q000473:pathology*; D000369:Aged, 80 and over; D002908:Chronic Disease; D003608:Dacryocystorhinostomy; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000150:complications* / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D009301:Nasolacrimal Duct / Q000473:pathology* / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000150:complications* / Q000473:pathology* / Q000601:surgery