[Lacrimal drainage obstruction as an early presentation of lacrimal sac lymphoma]

ABSTRACT

To report a case of lacrimal sac lymphoma presenting with nasolacrimal obstruction. A 35-year-old women presented with epiphora and swelling of the left lacrimal sac area and cervical lymphadenopathy. She had undergone dacryocystorhinostomy [DCR] 6 months before. Computed tomography demonstrated a lacrimal sac mass involving the nasal cavity. Histopathologic examination revealed diffuse large cell lymphoma. According to immunohistologic staining, the tumor was B-cell type. The patient was treated with irradiation and chemotherapy. Lacrimal sac tumors may present with epiphora and dacryocystits masquerading as nasolacrimal canal obstruction