Primary Lymphoma of the Lacrimal Sac-A Case Report

淚囊之原發性淋巴瘤之病例報告

王馨慧(Hsin-Hui Wang) ； 高淑卿(Shu-Ching Kao) ； 蔡傑智(Chieh-Chih Tsai) ； 蔡世豪(Shyh-Haw Tsay) ； 許紋銘(Wen-Ming Hsu)

《中華民國眼科醫學會雜誌》 46卷1期 (2007/03) Pp. 88-92

https://doi.org/10.30048/ACTASOS.200703.0016

摘要

目的：報導一個少見的淚囊原發性淋巴瘤之病例。
方法：病例報告及文獻回顧。
結果：一位40歲女性主訴溢淚，並且在右眼內訾處摸到一無痛腫塊。淚囊沖洗顯示其淚液排出系統在解剖學上是暢通的，但功能上是阻塞的，電腦斷層顯示在右邊的淚囊內有一腫塊並且侵犯到旁邊的眼窩。病人接受了右眼前眼窩切開術，以及淚囊切除和腫瘤移除。病理切片確認其為瀰漫性大型B細胞非何杰金氏淋巴瘤，無眼外組織侵犯。病人接受放射治療，追蹤3年，無局部復發或全身移轉之情形。
結論：淚囊的惡性腫瘤很少，而原發性非何杰金氏淋巴瘤更是少見。然而在診斷淚囊腫瘤時，我們仍應該將其列為鑑別診斷之一，特別是當病人有長期溢淚以及淚囊的無痛腫塊時。

並列摘要

Purpose: To report a rare case of primary lymphoma of the lacrimal sac.
Method: Case report and review of literatures.
Results: A 40-year-old female presented with epiphora and a medial can-thus painless mass of the right eye. Her lacrimal drainage system was anatomically patent to irrigation but functionally obstructed. Computed tomography disclosed a mass in the lacrimal sac extending to the adjacent orbital area of the right eye. After anterior orbitotomy exploration, dacryocystectomy and tumor excision were performed. Histopathological findings confirmed the diagnosis of a primary diffuse large B-cell NHL. The patient was treated with radiotherapy and remained free of lymphoma three years after diagnosis.
Conclusion: Malignant neoplasms of the lacrimal sac are infrequent, and primary NHL developing in this region is extremely rare. However, it should be included in the differential diagnosis of lacrimal sac lesion, especially in patients with chronic epiphora and painless swelling of lacrimal sac.

並列關鍵字

Lacrimal sac ； lymphoma ； Epiphora