Tanweer F, Mahkamova K, Harkness P
Department of ENT, Queen's Medical Centre, Nottingham, UK.
J Laryngol Otol. 2013 Jul;127(7):670-5. doi: 10.1017/S0022215113001163. Epub 2013 Jun 12.
Nasolacrimal duct tumours are rare and are often found inadvertently during dacryocystorhinostomy. Anecdotal case reports have been published, mostly in ophthalmology journals. Since the era of endoscopic dacryocystorhinostomy, such cases are more frequently encountered by ENT surgeons.
This paper reports a retrospective chart review of patients who underwent endoscopic dacryocystorhinostomy over the last 10 years in our dedicated epiphora clinic. It also provides a systematic literature review of nasolacrimal duct tumour cases published in English over the last 16 years.
Four of 525 endoscopic dacryocystorhinostomy procedures exposed a tumour (inverted papilloma, oncocytoma, lymphoma and solitary fibrous tumour). The literature review revealed 118 published case reports. Papilloma was the most frequently reported benign tumour and lymphoma was the most common malignant tumour.
Since the advent of endoscopic dacryocystorhinostomy, tumours are being diagnosed relatively early when smaller in size. Because of the rarity of this condition, it is advisable that such cases are managed through a dedicated epiphora service framework.
鼻泪管肿瘤较为罕见，常在泪囊鼻腔吻合术过程中意外发现。已有一些病例报告发表，大多刊载于眼科期刊。自内镜下泪囊鼻腔吻合术时代以来，耳鼻喉科医生更常遇到此类病例。
本文报告了对过去10年在我们专门的溢泪症诊所接受内镜下泪囊鼻腔吻合术患者的回顾性病历审查。同时还对过去16年以英文发表的鼻泪管肿瘤病例进行了系统的文献综述。
525例内镜下泪囊鼻腔吻合术中有4例发现肿瘤（内翻性乳头状瘤、嗜酸性细胞瘤、淋巴瘤和孤立性纤维瘤）。文献综述显示有118篇已发表的病例报告。乳头状瘤是最常报告的良性肿瘤，淋巴瘤是最常见的恶性肿瘤。
自内镜下泪囊鼻腔吻合术出现以来，肿瘤在体积较小时就能相对较早地被诊断出来。由于这种情况罕见，建议通过专门的溢泪症服务框架来处理此类病例。
