A Case of Squamous Cell Carcinoma of the Lacrimal Sac.

Lee, Kyu Chan; Kwon, Sangwon; Baek, Se Hyun

Case Report

Journal of the Korean Ophthalmological Society 2003;44(8):1914-1918.
Published online August 1, 2003.

A Case of Squamous Cell Carcinoma of the Lacrimal Sac.

Kyu Chan Lee, Sangwon Kwon, Se Hyun Baek

¹Department of Radiation Oncology, Gachon College of Medicine, Ghil Medical Center, Incheon, Korea.
²Department of Ophthalmology, Gachon College of Medicine, Ghil Medical Center, Incheon, Korea. shbaek@ghil.com

누낭에 발생한 편평상피세포암 1예

이규찬 ( Lee Gyu Chan ) , 권상원 ( Kwon Sang Won ) , 백세현 ( Baeg Se Hyeon )

Abstract

PURPOSE
To report a case of squamous cell carcinoma of lacrimal sac which has never been reported in Korea so far to our knowledge. METHODS: A 55-year-old male who had a history of epiphora for three years and palpable mass along the inferomedial aspect of the right medial canthus for 3months underwent surgical excision of the mass and dacryocystorhinostomy, and postoperative adjuvant radiation therapy was followed after surgical excision. RESULTS: Pathologic diagnosis of the excised mass was well differentiated squamous cell carcinoma. There is no evidence of recurrence until postoperative 9 months and the patient shows good clinical course with normal visual acuity. CONCLUSIONS: Despite its lower incidence, primary tumor of the lacrimal sac is usually malignant with high tendency of recurrence and fatality. Clinician should have a high suspicion of this disease on the patients who have epiphora and lacrimal sac mass, and perform early surgical excision and pathologic diagnosis. In this study, we experienced a rare case of squamous cell carcinoma of lacrimal sac.

Key Words: Lacrimal sac;Squamous cell carcinoma