Rare transitional cell carcinoma of the lacrimal sac

Rare transitional cell carcinoma of the lacrimal sac

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Purpose: Transitional citronella horse shampoo cell carcinomas of the lacrimal sac are rare with less than 55 cases reported in the literature.These tumors typically present with a medial canthal mass and epiphora.Observations: Here we describe a 63-year-old male who presented originally with complaints of dry eye and chronic epiphora.Over the next six months the patient noted the onset of a right medial canthal mass with tenderness and purulent lacrimal reflux.

The patient was scheduled for surgery, and a lacrimal sac mass was identified.After excisional biopsy, the mass was diagnosed as transitional cell carcinoma and the patient subsequently underwent right lacrimal sac excision and medial maxillectomy.He was treated post-operatively with chemotherapy and radiation and has undergone subsequent reconstruction for lid malposition and lacrimal obstruction.There has been no recurrence of the cancer over a five-year period, with no evidence of distant metastasis.

Conclusions and importance: Transitional cell carcinomas of the lacrimal sac can be aggressive and in general carry a poor prognosis.Physicians should have a high index of suspicion in patients presenting with medial canthal mass to menthol kangvape avoid delayed diagnosis.