Extraosseous plasmacytoma of the lacrimal duct

B-ENT. 2012;8(4):285-8.


Objective: Extraosseous plasmacytoma (EOP) is a rare plasma cell proliferative disorder that commonly affects the head and neck region. We report the first case of a plasmacytoma of the lacrimal duct.

Methods: A 66-year-old man presented with an isolated plasmacytoma of the right lacrimal duct and was treated surgically.

Results: The tumour grew slowly for a few months. CT scan and MRI showed a right lateral nasal mass extending from the right lacrimal duct toward the floor of the right maxillary sinus. The lesion was removed completely by endoscopic nasal surgery.

Discussion: EOP accounts for up to 3% of all plasma cell tumours. Management of this rare lesion involves surgery and radiotherapy with or without adjuvant chemotherapy. Guided by a literature review, we discuss the diagnostic and therapeutic management of EOP.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Eye Neoplasms / diagnosis*
  • Eye Neoplasms / metabolism
  • Eye Neoplasms / pathology
  • Humans
  • Immunohistochemistry
  • Lacrimal Apparatus Diseases / diagnosis*
  • Lacrimal Apparatus Diseases / metabolism
  • Lacrimal Apparatus Diseases / pathology
  • Lacrimal Apparatus Diseases / surgery
  • Lymphatic Metastasis
  • Magnetic Resonance Imaging
  • Male
  • Maxillary Sinus / pathology
  • Neoplasm Staging
  • Plasmacytoma / diagnosis*
  • Plasmacytoma / metabolism
  • Plasmacytoma / pathology
  • Plasmacytoma / surgery