Tsao Wei-Shan, Huang Tzu-Lun, Hsu Yung-Hsiang, Chen Nancy, Tsai Rong-Kung
Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Taiwan J Ophthalmol. 2016 Jan-Mar;6(1):42-44. doi: 10.1016/j.tjo.2014.11.002. Epub 2015 Jan 21.
A 47-year-old man presented with epiphora and a mass around the lacrimal sac in his left eye. Imaging studies revealed a favorable diagnosis of sinusitis-related mucocele. However, the pathological study of the excised tumor demonstrated a diffuse large B cell lymphoma. The patient was consequently referred to the oncology department for further management. Malignant lymphomas of the lacrimal sac are rare and they can mimic mucoceles. As such, they should be included in the list of differential diagnoses for lacrimal sac mass.
一名47岁男性因左眼溢泪及泪囊周围肿物就诊。影像学检查显示为鼻窦炎相关黏液囊肿的良性诊断。然而，切除肿瘤的病理研究显示为弥漫性大B细胞淋巴瘤。因此，该患者被转诊至肿瘤科进行进一步治疗。泪囊恶性淋巴瘤罕见，可类似黏液囊肿。因此，它们应列入泪囊肿物的鉴别诊断清单中。
