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題名 | Recurrent Lacrimal Sac Papilloma: Case Report=復發性淚囊乳突狀瘤:病例報告 |
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作者 | 洪祥菱; 馬俐; | 書刊名 | 長庚醫學 |
卷期 | 23:2 2000.02[民89.02] |
頁次 | 頁113-117 |
分類號 | 416.753 |
關鍵詞 | 淚囊乳突狀瘤; 溢淚; 二氧化碳雷射; Lacrimal sac papilloma; Epiphora; Carbon dioxide laser; |
語文 | 英文(English) |
英文摘要 | Tumors of the lacrimal sac are rare. Benign papillomas comprise approximately 40% of all neoplasms of the lacrimal drainage system. They often present insidiously with symptoms of dacryostenosis or dacryocystitis. Recurrent bouts of dacryocystitis and nasolacrimal duct obstruction were reported in a 35-year- old man over a period of 13 years. A medial canthal mass was noted in the 6th year after the onset of symptoms. A tumor was discovered incidentally during surgical intervention for presumed dacryostenosis. Surgical removal of the tumor and dacryocystorhinostomy were performed. The histopathologic report turned out to be benign papilloma. Local recurrences occurred during the follow-up period. In addition to surgical excision, we applied cryotherapy and CO2 laser to prevent further recurrence. This case we presented the characteristic recurrence of lacrimal sac papilloma and implied the possibility of tumor occurrence in a patient with recurrent dacryocystitis. We must bear in mind that a recurrent dacryocystitis may be a presentation of a lacrimal sac tumor, because early diagnosis and aggressive treatment can prevent recurrence and result in a cure. |
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