Ectopic lacrimal gland in the lacrimal sac mimicking tumour: literature review

2020 ◽  
Vol 13 (7) ◽  
pp. e235187
Author(s):  
Athanasios Saratziotis ◽  
Claudia Zanotti ◽  
Maria Baldovin ◽  
Enzo Emanuelli
Keyword(s):  
Lacrimal Gland ◽  
Histopathological Examination ◽  
Drainage System ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Postoperative Recovery ◽  
Endoscopic Approach ◽  
Lacrimal Sac ◽  
Chronic Dacryocystitis ◽  
Mri Scans

An 80-year-old man referred with repeated episode of dacryocystitis from the left lacrimal drainage system and palpable swelling. For many years, he has being presented with epiphora unilaterally with chronic dacryocystitis. Investigations with dye-test revealed subocclusion of the natural passage of the tears, and CT and MRI scans revealed solid mass in the lacrimal sac. The lacrimal sac was opened by endonasal endoscopic approach, the sacral mass was identified and completely removed. The histopathological examination showed lacrimal gland in ectopic position. Patient followed for 18 months with complete recovery of symptoms. In our differential diagnosis, the ectopic lacrimal gland is also identified, when a mass in the lacrimal sac and duct is present. Successful surgical excision required considerable multidisciplinary teamwork between ophtalmologist–ENT (Otolaryngologist) and radiologist. Endonasal endoscopic approach is perfectly safe with direct control and ensures a smooth postoperative recovery.

Large Left Ventricular Fibroma: Case Report and Literature Review

2020 ◽  
Vol 15 (3) ◽  
pp. 283-285
Author(s):  
Ahmed S. Anwar ◽  
Mahmoud I. Salem ◽  
Ragab Beltagy ◽  
Karim Madi ◽  
Ahmed M. F. Elwatidy
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Lateral Wall ◽  
Large Mass ◽  
Postoperative Recovery ◽  
Left Ventricular ◽  
Cardiac Tumors ◽  
Shortness Of Breath ◽  
Resonance Imaging ◽  
Cardiac Fibroma

Benign cardiac tumors are rare and fibroma is second to rhabdomyoma in frequency in pediatric cardiac tumors. We report a case of a 14-year-old male patient, who presented with shortness of breath for 2 years. Echocardiogram and cardiac magnetic resonance imaging indicated a large mass located in the left ventricular lateral wall. The patient underwent surgical excision of the tumor, and histopathological examination confirmed the diagnosis of a cardiac fibroma. The patient had a good postoperative recovery and was discharged on sixth postoperative day.

Intraoperative Identification of Lacrimal Sac by Means of Methylene Blue

2018 ◽  
Vol 69 (1) ◽  
pp. 172-174
Author(s):  
Camelia Margareta Bogdanici ◽  
Claudia Florida Costea ◽  
Gabriela Dimitriu ◽  
Madalina Adriana Chihaia ◽  
Alexandru Carauleanu ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Clinical Study ◽  
Pulmonary Fibrosis ◽  
Elderly Patients ◽  
Female Patient ◽  
Lower Limb ◽  
Histopathological Examination ◽  
Lacrimal Sac ◽  
The Past ◽  
Chronic Dacryocystitis

Methylene blue (MB) has many uses in medicine, being applied as a treatment for infections, malaria, methemoglobinemia, as a dye for diagnosis and for staining of cells, tissues and bacteria. In elderly patients with associated high anaesthetic risk, dacryocystectomy is an alternative to dacryocystorhinostomy. This is an observational clinical study for two cases of chronic dacryocystitis where dacryocystectomy combined with MB (1%) staining of lacrimal sac was performed. Case no.1 - an 81-year old female patient with arterial hypertension, atherosclerosis, pulmonary fibrosis, and lower limb varices complainted of recurrent epiphora, muco-purulent secretions in both eyes, inflammatory oedema of the left perisacular region for the past 6 months. Case no. 2 - a 74-year old female patient with hypothyroidism suffered from chronic epiphora in the left eye with a purple-red oedema of the inferior eyelid and perisacular region. Symptoms reoccurred in the last 10 months despite topical and systemic therapy with antibiotics and anti-inflamatory drugs. Dacryocystectomy was performed under local anaesthesia in both patients. MB (1%) was used to irrigate the lacrimal sac in order to facilitate its localisation, dissection and excision. Results: Case no.1. Ectopic lacrimal sac. Case no.2. Enlarged lacrimal sac (7.5/14 mm). The histopathological examination revealed a trachomatous dacryocystitis, respectively a chronic non-suppurative non-granulomatous dacryocystitis. Their postoperative evolution was without complications, except for a mild epiphora. In conclusion, dacryocystectomy appears to be a less traumatising alternative to dacryocystorhinostomy. The staining of the lacrimal sac with MB (1%) in dacryocystectomy facilitates its identification and dissection, especially when it is ectopic.

scholarly journals In Vivo and Cadaver Studies of the Canalicular/Lacrimal Sac Mucosal Folds

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Yongsheng You ◽  
Jing Cao ◽  
Xiaogang Zhang ◽  
Wencan Wu ◽  
Tianlin Xiao ◽  
...  
Keyword(s):  
Drainage System ◽  
Lacrimal Sac ◽  
Functional Roles ◽  
Chronic Dacryocystitis ◽  
Common Canaliculus ◽  
Cadaver Studies ◽  
Mucosal Folds ◽  
Mucosal Fold ◽  
Lacrimal Drainage

Purpose.The study aimed to investigate canalicular/lacrimal sac mucosal folds (CLS-MFs) in vivo and in cadavers in order to explore their functional roles in the lacrimal drainage system.Method.The observations of CLS-MFs in vivo were performed on 16 patients with chronic dacryocystitis after undergoing an endonasal endoscopic dacryocystorhinostomy (EE-DCR). The lacrimal sacs and common canaliculi of 19 adult cadavers were dissected. The opening/closing of an orifice and mucosal fold was recorded. All of the specimens were subjected to a histological examination.Results.The upper and lower lacrimal canaliculi in all of the samples united to form a common canaliculus that opened to the lacrimal sac. CLS-MFs were observed in 10 of the 16 patients (62.5%) and 9 of the 19 cadavers (47.4%). The orifices or mucosal folds could be opened or closed when related muscles contracted or relaxed. Histological sections showed a mucosal fold at one side of an orifice.Conclusion.Common canaliculus is the most common type that the canaliculus opens to lacrimal sac. CLS-MFs exist in a certain ratio that can be opened/closed with the movement of the orifices. They may be involved in the drainage of tears or the pathogenesis of acute dacryocystitis or lacrimal sac mucocele.

scholarly journals A Rare Case of Giant Dacryocystomucopyocele

2021 ◽  
Author(s):  
Pooja R Jain ◽  
Rohit P Tiwari ◽  
Rakesh K Barot ◽  
Arun Mane ◽  
Vaidehi D Bhatt
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
Mechanical Obstruction ◽  
Lacrimal Sac ◽  
Lacrimal Duct ◽  
Complete Surgical Excision ◽  
Chronic Dacryocystitis ◽  
Upward Displacement ◽  
Eye Closure

Chronic dacryocystitis is frequently caused by Naso Lacrimal Duct (NLD) infection or obstruction. Mucocele is formed when chronic stagnation of tears occurs in the lacrimal sac. When mucocoele gets infected with pyogenic organisms, pyocele is formed. Proximal obstruction in mucopyocele causing encysted dacryocystomucopyocele presenting as an enormous swelling is very uncommon. Very few cases of giant encysted dacryocystomucopyocele are reported in literature. The authors report a 42-year-old male with an acquired, enormous dacryocystomucopyocele, which developed over only one and half years and produced upward displacement of the lower lid and mechanical obstruction for eye closure. Computed tomography of orbit and paranasal sinuses was done to confirm the diagnosis and find out the extent of cyst. Complete surgical excision of the cyst was performed. There was no recurrence of the swelling at last follow-up at 1 year.

Dacryolith in an unusual case of epiphora: open or endoscopic approach?

2011 ◽  
Vol 125 (12) ◽  
pp. 1298-1300 ◽  
Author(s):  
C Gadepalli ◽  
V Malik ◽  
C Inkster ◽  
C Lobo
Keyword(s):  
Unusual Case ◽  
Nasolacrimal Duct ◽  
Endoscopic Approach ◽  
Endoscopic Management ◽  
Open Approach ◽  
Lacrimal Sac ◽  
Duct Obstruction ◽  
Chronic Dacryocystitis ◽  
Cellular Debris ◽  
Diagnostic Investigations

AbstractIntroduction:Dacryoliths are concretions formed in the lacrimal sac from cellular debris and proteins, which may calcify and cause further obstruction of the nasolacrimal pathway. Dacryoliths are often underlying contributors in cases of intermittent or chronic dacryocystitis (i.e. nasolacrimal sac inflammation, characterised by epiphora, pain, erythema, sac dilation and lacrimal punctum swelling).Objective:We report an unusual case of dacryolith resulting in obstructive epiphora, managed via an endonasal endoscopic approach.Method:Case report and literature review pertaining to dacryolith.Results:A 54-year-old man attended the multidisciplinary nasolacrimal clinic due to recurrent epiphora. Obstructive epiphora secondary to chronic dacryocystitis was diagnosed. He underwent endonasal endoscopic dacryocystorhinostomy. Intra-operatively, a large dacryolith was found to be the cause of epiphora.Conclusion:Dacryolith is an unusual cause of nasolacrimal duct obstruction. This case highlights this unusual cause, and the relevant diagnostic investigations. This case also illustrates successful endonasal endoscopic management, rather than an external, open approach.

scholarly journals Primary Neuroendocrine Carcinoma of Ocular Adnexa

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Daisuke Yamanouchi ◽  
Toshiyuki Oshitari ◽  
Yosuke Nakamura ◽  
Jiro Yotsukura ◽  
Kaoru Asanagi ◽  
...  
Keyword(s):  
Neuroendocrine Carcinoma ◽  
Lacrimal Gland ◽  
Histopathological Examination ◽  
Combined Therapy ◽  
Surgical Excision ◽  
Excision Biopsy ◽  
Upper Eyelid ◽  
Ocular Adnexa ◽  
Complete Surgical Excision ◽  
The Right

We present our findings in a case of primary neuroendocrine carcinoma (NEC) of the lacrimal gland and a case of primary Merkel cell carcinoma (MCC) of the eyelid. An 86-year-old man noticed a swelling of the left upper eyelid three months earlier. We performed excision biopsy and histopathological examination indicated that he had a primary NEC of the left lacrimal gland. He underwent chemotherapy followed by excision including the clinically visible margins and 50 Gy radiotherapy of the surgical margins. He had neither recurrence nor metastasis for 6 months since the last radiotherapy. An 80-year-old man noticed a nodule in the right upper eyelid and was referred to our hospital because the size was increasing rapidly. A complete surgical excision of the margins of the tumor was performed with histopathological confirmation of negative margins. The final diagnosis was a primary MCC of the right upper eyelid. After surgery, he underwent 50 Gy radiotherapy on the neck to prevent metastasis. No recurrence or metastasis was found for two years. Although primary NEC of the ocular adnexa is extremely rare, the tumor has high malignancy and readily metastasizes. Thus, combined therapy including surgery, radiotherapy, and/or chemotherapy is needed for complete management of NEC.

scholarly journals Neglected Giant Schwannoma of the Sciatic Nerve – A Case Report

2020 ◽  
Vol 5 ◽  
Author(s):  
Tariq Elemam Awad ◽  
Mohamed Hassan Mahmoud
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Postoperative Recovery ◽  
Good Prognosis ◽  
University Hospital ◽  
Sensory Deficits ◽  
Giant Schwannoma ◽  
The Right

Background : Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass in palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often when the size of the tumor is more than 40 mm.Case Description : A 19-years- old female patient was referred to Suez Canal University Hospital after 6 years of pain and 2 years of improper management. Neurological examination and MRI of the right thigh was done and revealed huge mass attached to the right sciatic nerve. Surgical excision was undertaken, carefully dissecting the lesion from the sciatic nerve. Histopathological examination revealed the tumor to be a schwannoma. The patient had marked postoperative recovery with marked pain reduction and improved neurological deficits.Conclusions : Schwannomas of the sciatic nerve are rare tumors eccentrically located on the nerve. Although rare, schwannoma of the sciatic nerve should be systematically suspected if thigh mass or persistent sciatica is reported. Surgical excision has good prognosis.

scholarly journals Postoperative Aseptic Intracranial Granuloma: The Possible Influence of Fluid Hemostatics

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Mario Ganau ◽  
Nicola Nicassio ◽  
Leonello Tacconi
Keyword(s):  
Acute Phase Proteins ◽  
Histopathological Examination ◽  
Treatment Options ◽  
Surgical Excision ◽  
Mass Effect ◽  
Who Grade ◽  
Retained Foreign Body ◽  
Mri Scans ◽  
Conservative Attitude ◽  
The One

Background.Numerous reports have demonstrated how postoperative intracranial granulomas can often mimic neoplasm clinically, radiologically, and even macroscopically. Herein we present an unusual case of postsurgical intracranial aseptic granuloma secondary to a chronic inflammatory reaction without any identifiable retained foreign body.Case Description. A 71-year-old patient started complaining of severe headache seven months after surgical excision of WHO Grade I right frontal falx meningioma. CT and MRI scans disclosed a contrast-enhanced lesion with diffuse mass effect in the previous surgical site. The lesion was resected; intraoperative finding and histological specimens led to the diagnosis of postoperative granuloma, likely expression of a glial reaction to the fluid absorbable hemostatics applied in the surgical site after meningioma excision. The possible granuloma-inducing materials and the timing of granuloma formation are discussed.Conclusion. A comprehensive analysis of clinical and neuroradiological data, as well as results of blood tests including positive and negative acute phase proteins, is mandatory to raise the suspicion of postoperative granuloma. The treatment options should be evaluated on a case-by-case basis, with a conservative attitude being the one of choice only for patients without progressive neurological deficit. Alternatively, aggressive surgical treatment and histopathological examination should be advocated.

Primary mucosa-associated lymphoid tissue (MALT) lymphoma of the lacrimal drainage system in two pediatric patients

2019 ◽  
Vol 30 (3) ◽  
pp. NP18-NP23 ◽  
Author(s):  
Ahmet Yucel Ucgul ◽  
Bercin Tarlan ◽  
Pınar Uyar Gocun ◽  
Onur Konuk
Keyword(s):  
Malt Lymphoma ◽  
Lymphoid Tissue ◽  
Histopathological Examination ◽  
Drainage System ◽  
Excisional Biopsy ◽  
Lacrimal Sac ◽  
Lacrimal Drainage System ◽  
Non Hodgkin Lymphoma ◽  
Tumoral Lesion ◽  
Lacrimal Drainage

Primary non-Hodgkin lymphoma (NHL) of lacrimal drainage system (LDS) is quite rare in children, but it is important to expedite early diagnosis in an effort to alter possible life-threatening disease since they are usually misdiagnosed as chronic dacryocystitis. In the literature, there are few examples of tumors of LDS in children. The authors herein report two pediatric cases of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) originating from lacrimal sac in an attempt to increase the knowledge about the clinical course of NHL of LDS. Considerable care must be taken since tumors of lacrimal drainage can mimic dacryocystitis clinically and macroscopically. Two patients both attended with painless swelling in the left lacrimal sac region and epiphora of the left eye. Orbital magnetic resonance imaging showed a tumoral lesion in the left lacrimal sac region and histopathological examination of excisional biopsy specimen demonstrated MALT lymphoma in both patients. The treatment regimen comprises lacrimal sac excision within the tumor, canalicular dacryocystorhinostomy (DCR) with bicanalicular silicone intubation (BSI) combined with chemotherapy and regional radiotherapy in one case, whereas the second case received only radiotherapy after canalicular DCR with BSI. Both of them maintained clinical remission along follow-up.

Treatment Methods Conditioned by the Gravity of Drug-Induced Gingival Hyperplasias

2017 ◽  
Vol 68 (11) ◽  
pp. 2618-2622
Author(s):  
Alina Mihaela Calin ◽  
Mihaela Debita ◽  
Raluca Dragomir ◽  
Ovidiu Mihail Stefanescu ◽  
Cristian Budacu ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Histopathological Examination ◽  
Transplant Rejection ◽  
Surgical Excision ◽  
Channel Blockers ◽  
Gingival Hyperplasia ◽  
Drug Induced ◽  
Treatment Methods ◽  
Systemic Medication ◽  
Bacterial Plaque

The first drug discovered to be involved in the development of gingival hyperplasia is phenytoin, which is indicated in the treatment of epileptic patients. The other drugs are calcium channel blockers with vasodilating effect. The most important one is Nifedipine, while Ciclosporin A, which is used as an immunosuppressant in the prevention of transplant rejection, causes gingival hyperplasia as a secondary effect. Gingival hyperplasia can reach an impressive volume, completely covering the dental crown and affecting the masticatory and physiognomic functions. The elucidation of the mechanism, by which drug-induced gingival hyperplasia occurs, favoring factors and the choice of conservative or surgical treatment methods, emphasizing the prophylactic treatment. The study batch was subject to intraoral and extraoral clinical examinations and the data were included in the dental treatment sheet of each patient, 11 patients aged over 60 years, who came to the Clinic ... in the period 2014-2016. The diagnosis was based on the anamnesis, the clinical aspect of the lesions and the histopathological examination. After the surgical excision of the hyperplasia affected area, recurrence was prevented by dispensarizing the patients and controlling the bacterial plaque through rigorous oral hygiene. Treatment depends on the severity of the lesions, as well as on the physionomic and masticatory functions. Conservative etiological therapy is attempted, by removing the bacterial plaque and local irritant factors, by reducing the dose of drugs, or by changing the systemic medication.

Sign in / Sign up

Export Citation Format

Share Document