Nasolacrimal duct obstruction caused by oncocytic carcinoma

Korean J Ophthalmol. 2013 Apr;27(2):126-9. doi: 10.3341/kjo.2013.27.2.126. Epub 2013 Feb 27.

Abstract

Here, we report an extremely rare case of acquired nasolacrimal duct obstruction caused by oncocytic carcinoma. A 64-year-old man presented to the hospital complaining of epiphora and left-side nasal obstruction. Ophthalmic and otolaryngology examination revealed a left lacrimal duct obstruction caused by a mass in the left nasal cavity and lacrimal drainage system. The mass was removed and confirmed as an oncocytic carcinoma. Nine months after surgery, without adjuvant radiotherapy, a left orbital mass was observed and the patient underwent reoperation. The mass proved to be recurrent oncocytic carcinoma. The patient underwent adjuvant radiotherapy to eradicate any residual tumor and the patient remains tumor-free one year post-radiotherapy.

Keywords: Nasolacrimal duct; Oxyphilic adenoma.

Publication types

  • Case Reports

MeSH terms

  • Adenoma, Oxyphilic / complications*
  • Adenoma, Oxyphilic / pathology
  • Adenoma, Oxyphilic / surgery
  • Dacryocystorhinostomy
  • Humans
  • Lacrimal Duct Obstruction / etiology*
  • Lacrimal Duct Obstruction / pathology
  • Male
  • Middle Aged
  • Nasolacrimal Duct / pathology*
  • Nasolacrimal Duct / surgery
  • Neoplasm Recurrence, Local / complications
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / surgery
  • Nose Neoplasms / complications*
  • Nose Neoplasms / pathology
  • Nose Neoplasms / surgery
  • Reoperation