Journal of the Korean Ophthalmological Society 2004;45(6):1030-1035.
Published online June 1, 2004.
Management with Radical Excision in Squamous Cell Carcinoma of the Lacrimal Sac.
Ji Woong Chang, Byoung Jin Kim, Ha Bum Lee
Department of Ophthalmology, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. feeloph@hanmir.com
근치절제술을 이용한 누낭편평세포암종의 치료
장지웅 ( Ji Woong Chang ) , 김병진 ( Byoung Jin Kim ) , 이하범 ( Ha Bum Lee )
Abstract
PURPOSE
Squamous cell carcinoma of the lacrimal sac is rare and there is high rate of recurrence after dacryocystectomy. We report successful radical excision of the tumor for the purpose of reducing the recurrence and improving the survival rate. METHODS: A 48-year-old man who had a history of epiphora and medial canthal mass for one year was referred to our clinic. CT scan showed a mass on the lacrimal fossa but there was no evidence of bony destruction or local invasion. We confirmed that the excised mass was squamous cell carcinoma of the lacrimal sac by frozen section. So, radical excision including bony and mucous nasolacrimal duct (NLD), inferior turbinate, and medial maxilla was performed through lateral rhinotomy. RESULTS: Ten months later, there was skin defect and medial canthal deformity. So we corrected the deformity with a forehead free flap and the result was cosmetically acceptable. There was no evidence of recurrence or distant metastasis for one- year follow- up period. CONCLUSIONS: Despite its high recurrence rate, we can reduce the recurrence and mortality rate of squamous cell carcinoma of the lacrimal sac with radical excision including bony and mucous NLD, inferior turbinate, and medial maxilla.
Key Words: Lacrimal sac tumor;Radical excision;Squamous cell carcinoma


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