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Non-Hodgkin's lymphoma of the lacrimal sac and concomitant pansinusitis

Published online by Cambridge University Press:  29 June 2007

H. El-Hakim*
Affiliation:
Department of Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, UK.
D. A. Nunez
Affiliation:
Department of Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, UK.
*
Address for correspondence: Mr H. El-Hakim, F.R.C.S. (Ed.) ENT Department, Aberdeen Royal Infirmary, Foresterhill, AberdeenAB9 2ZB. Fax: 01224 840900

Abstract

Paranasal sinus disease has an established propensity to breach anatomical barriers and present with orbital clinical features. Lacrimal sac lymphomas on the other hand are rare, usually present in males in the sixth decade and 50 per cent of cases have systemic rymphoma/leukaemia. Atypical presentations of lymphomas at this and other sites are reported in patients with acquired immunodeficiency syndrome (AIDS). The clinical features, investigations and treatment of a young human immunodeficiency virus (HIV) sero-negative woman with a non-Hodgkin's lymphoma localized to the lacrimal sac and presenting with a concomitant ipsilateral pan-sinusitis is described. The importance of submitting surgical material for pathological investigation is stressed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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References

Benger, R. S., Freuh, B. R. (1986) Lacrimal drainage obstruction from lacrimal sac infiltration by lymphocytic neoplasia. American Journal of Ophthalmology 101: 242245.CrossRefGoogle ScholarPubMed
Carlin, R., Henderson, J. (1974) Malignant lymphoma of the nasolacrimal sac. American Journal of Ophthalmology 78 (3): 511513.CrossRefGoogle ScholarPubMed
Ellis, J. H., Banks, P. M., Campbell, R. J., Leisgang, T. J. (1985) Lymphoid tumours of ocular adnexa: Clinical correlation with the working formulation classification and immunoperoxidase staining of paraffin sections. Ophthalmology 92 (10): 13111324.CrossRefGoogle ScholarPubMed
Erickson, B. A., Massaro, B. M., Mark, L. P., Harris, G. J. (1994) Lacrimal collecting system lymphomas integration of magnetic resonance imaging and therapeutic irradiation. International Journal of Radiation Oncology Biology and Physics 29(5): 10951103.CrossRefGoogle ScholarPubMed
Finn, D. (1995) Lymphoma of the head and neck and acquired immunodeficiency syndrome: clinical investigation and immunohistological study. Laryngoscope 105 (Suppl) 69: 118.CrossRefGoogle ScholarPubMed
Jordan, D., Nerrad, J. (1988) Diffuse large cell lymphoma of the nasolacrimal sac. Canadian Journal of Ophthalmology 23 (1): 3437.Google ScholarPubMed
Karesh, J., Perman, K., Rodrigues, M. (1993) Dacryocystitis associated with malignant lymphoma of the lacrimal sac. Ophthalmology 100 (5): 669673.CrossRefGoogle ScholarPubMed
Kheterpal, S., Chan, S., Batch, A., Kirby, G. (1994) Previously undiagnosed lymphoma presenting as recurrent dacryo-cystitis. Archives of Ophthalmology 112: 519520.CrossRefGoogle Scholar
Lund, V. J. (1997) The orbit. In Scott Brown Otolaryngology, vol. 4, 6th Edition, (Kerr, A. J. ed.) Butterworth Heine-mann, Oxford, pp 24/1–16.Google Scholar
Stefanyszyn, M., Hidayat, A., Pe'er, J., Flanagan, J. (1994) Lacrimal sac tumours Ophthalmic Plastic and Reconstructive Surgery 10 (3): 169184.CrossRefGoogle Scholar