" Mimicker " lacrimal sac and duct tumor /
Katherine Marl R. Ferrer and Maria Donna D. Santiago.
- Fairview, Quezon City: Department of Ophthalmology, FEU-NRMF, 2020.
- 27 pages: illustrations, tables, photos: (in folder) with CD (soft copy).
Includes appendices and bibliographical references.
Abstract: This is a case of a 49-year-old male who presented with a painless mass at the left medial canthal area for 2 years associated with progressive epiphora, tenderness, erythema and feeling of nasal obstruction. External examination showed elevated skin-colored mass with necrotic center, hard non-tender on palpation measuring 3.7 cmhorizontally and 3.8 cm vertically with no limitation on ocular movements and no signs of exophthalmos or diplopia. Both eyes showed best correct visual acuity of 20/20. Nasolacrimal duct irrigation of the left eye showed reflux of tears on the superior canaliculus. Orbital CT scan with contrast showed a lacrimal neoplasm. Frozen-section guided excision biopsy via anterior orbitotomy with reconstruction using cheek and nasolabial flaps was done. Histopathology confirmed the diagnosis of poorly differentiated squamous cell carcinoma invading the stroma, lymphovascular space and bone. Patient was referred to Oncology service for chemotherapy and Radiation Oncology service for radiotherapy.