title: [Papilloma of the lacrimal sac].
abstract: The benign lesions of the lacrimal sac are very rare. The most typical epithelial tumor is squamous papilloma. This tumors often present with symptoms of dacryostenosis and dacriocystitis. Human papillomavirus (HPV) infection is known to be causative agent in the development of epithelial tumor. Lacrimal sac tumors could transform to malignant neoplasms, especially if they are developed of coexisting HPV infection. We present a patient with a squamous papilloma of the lacrimal sac and discussed the method of treatment. The patient was suffered from epiphora and recurrent dacriocystitis. An endoscopic surgery with dacriocystorhinostomy and local resection of the tumor could be an effective method of choice. The usage of a shaver for wide removal of the lacrimal sac wall is recommended to prevent local recurrence. The histopathology examination showed squamous papilloma. The patient is free of the disease over 8 months of follow up. Primary lacrimal sac papilloma require long term follow up for recurrence or malignant transformation. HPV infection could be associated with the development of lacrimal sac papillomas.
authors: Katedra i Klinika Otolaryngologii i Onkologii Laryngologicznej Collegium Medium w Bydgoszczy, UMK w Toruniu, ul. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland. pburduk@wp.pl
authors: Paweł K
authors: PK
authors: Burduk
authors: Małgorzata
authors: M
authors: Seredyka-Burduk
authors: Wojciech
authors: W
authors: Kaźmierczak
authors: Krzysztof
authors: K
authors: Dalke
authors: Andrzej
authors: A
authors: Marszałek
mesh_terms: D003608:Dacryocystorhinostomy / Q000379:methods*; D005134:Eye Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010212:Papilloma / Q000473:pathology / Q000601:surgery*; D012074:Remission Induction