Schittkowski Michael, Stropahl Gerhard, Timm Angela, Guthoff Rudolf
Universitätsaugenklinik Rostock, Germany.
Klin Monbl Augenheilkd. 2002 Aug;219(8):602-8. doi: 10.1055/s-2002-34424.
The purpose of this report is to describe the clinical characteristics, management and histological findings in a patient with obstruction of the nasolacrimal duct caused by a cylindroma. About 618 lacrimal sac tumours have been reported previously in reviews and case reports, which were reviewed after searching in medline database.
A 79-year old man suffered from multiple cylindromas (Spiegler tumour) on his head for about 40 years. He presented with a 6 months' history of left-sided epiphora and a painless medial canthal mass of various size. A tumour which caused nasolacrimal duct obstruction was found during dacryocystorhinostomy. After complete excision histological examination revealed a cylindroma, which had shown expansive growth from dermis to the lacrimal sac area. The patient felt well; there was no longer any epiphora or dacryocystitis after the operation.
Although very rare, lacrimal sac tumours must be considered in the differential diagnosis of nasolacrimal duct obstruction. To our knowledge this case represents the first report on an atypical manifestation on a Spiegler tumour in the lacrimal sac region.
本报告旨在描述一例由圆柱瘤导致鼻泪管阻塞患者的临床特征、治疗及组织学表现。先前的综述和病例报告中已报道了约618例泪囊肿瘤，本研究在检索医学数据库后对这些报道进行了回顾。
一名79岁男性头部患有多发性圆柱瘤（斯皮格勒瘤）约40年。他有6个月左侧溢泪史，内眦部有一大小不一的无痛性肿物。在泪囊鼻腔吻合术中发现一个导致鼻泪管阻塞的肿瘤。完整切除后组织学检查显示为圆柱瘤，其呈从真皮向泪囊区域的膨胀性生长。患者术后恢复良好，不再有溢泪或泪囊炎症状。
尽管泪囊肿瘤非常罕见，但在鼻泪管阻塞的鉴别诊断中必须考虑到。据我们所知，该病例是泪囊区域斯皮格勒瘤非典型表现的首例报道。
