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模仿泪囊肿瘤的异位泪腺囊肿:一例报告及文献复习

Ectopic dacryops mimicking a lacrimal sac tumor: A case report and literature review.

作者信息

Alfarhan Abdulrahman, Alwatban Jawaher, Alsuliman Hamad, Elkhamry Sahar, Maktabi Azza, Althaqib Rawan

机构信息

Oculoplastic and Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

出版信息

Am J Ophthalmol Case Rep. 2025 May 16;39:102355. doi: 10.1016/j.ajoc.2025.102355. eCollection 2025 Sep.

DOI:10.1016/j.ajoc.2025.102355
PMID:40496940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151258/
Abstract

PURPOSE

To report a rare case of dacryops found within the lacrimal sac, which mimicked a lacrimal sac tumor.

OBSERVATIONS

An adult female patient presented with epiphora and chronic swelling of the lacrimal sac, initially raising concerns for a possible lacrimal sac tumor. Imaging revealed a well-defined cystic lesion with a patent lacrimal drainage system. Histopathological examination confirmed the presence of a lacrimal gland cyst (dacryops) within the lacrimal sac.

CONCLUSIONS AND IMPORTANCE

This case highlights the rare occurrence of lacrimal gland tissue within the lacrimal sac, a location that has eluded prior definitive descriptions in the literature. Recognition of this condition is crucial for appropriate diagnosis and management, as it can mimic more serious pathologies such as a lacrimal sac tumor.

摘要

目的

报告一例罕见的泪囊内泪腺囊肿病例,该病例曾被误诊为泪囊肿瘤。

观察结果

一名成年女性患者出现溢泪及泪囊慢性肿胀,最初怀疑可能是泪囊肿瘤。影像学检查显示一个边界清晰的囊性病变,泪道引流系统通畅。组织病理学检查证实泪囊内存在泪腺囊肿(泪腺囊肿)。

结论及重要性

该病例凸显了泪囊内出现泪腺组织这一罕见情况,此前文献中尚无对此部位的确切描述。认识到这种情况对于正确的诊断和治疗至关重要,因为它可能会被误诊为更严重的病变,如泪囊肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/a5bfc1aa2cb8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/df206232ace1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/e38900fcb8d5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/a5bfc1aa2cb8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/df206232ace1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/e38900fcb8d5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f2f/12151258/a5bfc1aa2cb8/gr3.jpg

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本文引用的文献

1
Primary lacrimal sac lymphoma: a case-based retrospective study in a Chinese population.原发性泪囊淋巴瘤:基于病例的中国人群回顾性研究。
Int J Ophthalmol. 2023 Apr 18;16(4):532-538. doi: 10.18240/ijo.2023.04.06. eCollection 2023.
2
Dacryops and clinical diagnostic challenges.泪腺管囊肿与临床诊断挑战。
Can J Ophthalmol. 2022 Dec;57(6):388-393. doi: 10.1016/j.jcjo.2021.06.014. Epub 2021 Jul 26.
3
Lacrimal ductal cyst of the medial orbit: a case report.内侧眼眶的泪管囊:一例报告。
BMC Ophthalmol. 2020 Sep 24;20(1):380. doi: 10.1186/s12886-020-01636-1.
4
Ectopic Lacrimal Gland Tissue: A Systematic Review.异位泪腺组织:系统评价。
Ophthalmic Plast Reconstr Surg. 2020 Nov/Dec;36(6):540-544. doi: 10.1097/IOP.0000000000001621.
5
Krause's accessory lacrimal gland dacryops - case report and literature review.Krause 副泪腺涎液腺癌——病例报告及文献复习。
Orbit. 2020 Dec;39(6):441-445. doi: 10.1080/01676830.2019.1704796. Epub 2020 Jan 8.
6
[Masquerade lacrimal duct stenosis: prevalence of lacrimal sac tumors].[伪装性泪道狭窄:泪囊肿瘤的患病率]
Ophthalmologe. 2020 May;117(5):439-444. doi: 10.1007/s00347-019-00971-z.
7
Dacryops - A review.泪囊 - 综述。
Orbit. 2020 Apr;39(2):128-134. doi: 10.1080/01676830.2019.1608564. Epub 2019 Sep 12.
8
Lacrimal gland choristoma in lacrimal sac as a probable cause of nasolacrimal duct obstruction.泪囊内的泪腺迷离瘤可能是鼻泪管阻塞的原因。
Clin Exp Ophthalmol. 2019 Jul;47(5):675-677. doi: 10.1111/ceo.13447. Epub 2018 Dec 10.
9
A rare case of atypical pleomorphic adenoma arising from periocular ectopic lacrimal gland.一例罕见的起源于眼周异位泪腺的非典型多形性腺瘤。
Int Ophthalmol. 2019 Jul;39(7):1617-1619. doi: 10.1007/s10792-018-0975-2. Epub 2018 Jun 23.
10
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Orbit. 2018 Aug;37(4):262-265. doi: 10.1080/01676830.2017.1423081. Epub 2018 Jan 4.