Altan-Yaycioglu Rana, Bolat Filiz, Akova Yonca A
Department of Ophthalmology, Adana Teaching and Medical Research Center, Baskent University Faculty of Medicine, Adana, Turkey.
Orbit. 2007 Dec;26(4):267-9. doi: 10.1080/01676830600987565.
A 58-year-old woman, diagnosed with primary obstruction of the nasolacrimal system, underwent external dacryocystorhinostomy and silicone stent implantation. During surgery, an incisional biopsy was obtained from the posterior wall of the lacrimal sac. Pathological examination revealed basal cell carcinoma of the lacrimal sac. Two weeks later, the diseased sac and surrounding tissue were excised, using frozen sections to ensure adequate tumor-free margins. The lacrimal sac tumor was diagnosed as basal cell carcinoma with focal squamous differentiation. No tumor recurrence was detected in 1.5 years of follow-up. The authors recommend that lacrimal sac biopsy should be performed in patients with an enlarged lacrimal sac and nasolacrimal system obstruction.
一名58岁女性，被诊断为鼻泪系统原发性阻塞，接受了外路泪囊鼻腔吻合术和硅胶支架植入术。手术期间，从泪囊后壁取了切口活检组织。病理检查显示为泪囊基底细胞癌。两周后，切除病变的泪囊及周围组织，术中使用冰冻切片以确保切缘无肿瘤残留。泪囊肿瘤被诊断为具有局灶性鳞状分化的基底细胞癌。随访1.5年未发现肿瘤复发。作者建议，对于泪囊增大且伴有鼻泪系统阻塞的患者，应进行泪囊活检。
