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題 名 | Lacrimal Sac Tumor--Report of Two Cases=兩例罕見淚囊腫瘤病例報告 |
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作 者 | 王俊琪; 黃世鴻; 張燕良; 王仁鵬; 林思源; 林素玲; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 46:1 2007.03[民96.03] |
頁 次 | 頁34-41 |
分類號 | 416.753 |
關鍵詞 | 淚囊腫瘤; Hemangiopericytoma; Inverted papilloma; Lacrimal sac; Dacryocystorhinostomy; |
語 文 | 英文(English) |
中文摘要 | 目的:提出兩例罕見的上皮性和非上皮性淚囊腫瘤報告。 方法:病例報告。 結果:病例一:一名八十四歲男性因為多年的左眼溢淚前來求診。經淚管沖洗檢查,回流出許多黏液膿狀物,在經診斷為左側鼻淚管阻塞併發淚囊炎下安排病人進行淚囊鼻腔造屢術。在術中發現在淚囊及淚管中有一軟組織腫瘤。切片病理報告為一個反轉乳頭狀瘤。為了完全清除腫瘤,照會耳鼻喉科醫師後,病患再接受進一步左側鼻切開術及內側上頜骨切除術。術後四年的追踪,沒有腫瘤再嶺的現象。病例二:一名四十一歲女性主訴右眼溢淚兩年多而至本院耳鼻喉科求診,在此之前右眼已有兩年溢淚現象。最近半年左眼內訾處有一無痛性、逐漸膨出的腫塊。斷層掃瞄可以見到在右測淚囊內有一大小約為一點五公分的腫瘤。經由耳鼻喉科進行內視鏡淚囊鼻腔造屢術後送病理檢查,病理報告為血管外皮細胞瘤。一年後的追踪,發現腫瘤有復嶺的現象,所以再經由內視鏡切除復嶺的腫瘤。接下來兩年多的追踪,腫瘤沒有再復嶺。 結論:進行淚囊鼻腔造屢術時,取下淚囊組織做病理檢查並非常規,但是對於一個不尋常的病例,病理檢查有其必要性。原發性的淚囊腫瘤很罕見,如果是一個惡性淚囊腫瘤,廣泛的切除和術後的追蹤是否有復嶺和轉移是必要的。 |
英文摘要 | Purpose: To report two cases of rare primary lacrimal sac tumor-one of inverted papilloma and the other of hemangiopericytoma. Method: Case report. Results: An 84-year-old male patient presented with persistent epiphora of the left eye for many years and nasolacrimal duct obstruction with dacryocystitis was diagnosed. During external dacryocystorhinostomy, a soft tissue mass was visualized in the lacrimal sac and nasolacrimal duct incidentally. Excisional biopsy was performed and histopathologic examination reported an inverted papilloma. Lateral rhinotomy and medial maxillectomy with meticulous removal of all mucosa in the ipsilateral paranasal sinuses were performed subsequently. No recurrence was noted during a follow-up period of 4 years. A41-year-old female patient visited our hospital for a progressive painless bulging mass above the right medial canthal area for half a year and chronic epiphora of the right eye for 2 years. Computed tomography of paranasal sinuses demonstrated a solid tumor within the right lacrimal sac. Endonasal dacryocystorhinostomy was performed to remove the tumor by an otolaryngologist and the histopathologic examination reported a hemangiopericytoma. Recurrence was noted after one-year follow-up. Excision of recurred tumor via endoscopic method was performed. At 2 years follow-up, no recurrence was noted. Conclusion: Lacrimal sac tumors are rare. Pathologic study of dacryocy-storhinostomy specimen is not indicated routinely but is recommended in unusual cases. In malignant cases, an extended surgery and long-term follow-up for recurrence and metastasis are required. |
本系統中英文摘要資訊取自各篇刊載內容。