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.
Department of Otolaryngology-Head and Neck Surgery, Rouen University Hospital, Rouen, France.
Benoît
B
Delas
Marine
M
Bertrand
Emmanuel
E
Babin
Arnaud
A
François
Jean-Paul
JP
Marie
Danièle
D
Dehesdin
Olivier
O
Choussy
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