Lacrimal Sac Smooth Muscle Tumor of Uncertain Malignant Potential

F. Lawson Grumbine, Sarah W. Deparis, M. Reza Vagefi, Michelle Bloomer, Robert C. Kersten

Research output: Contribution to journalArticle

Abstract

A 13-year-old male presented with recurrent left nasolacrimal duct obstruction following endoscopic dacryocystorhinostomy 4 years prior at an outside institution. The past medical history was significant for stage IV neuroblastoma, diagnosed at age 2, requiring surgical resection, induction chemotherapy, autologous bone marrow transplantation and radiation, currently in remission. Preoperative CT scan demonstrated a 2 cm ovoid mass centered in the left lacrimal fossa, consistent with dacryocystocele; however, a solid tumor could not be ruled out. Subsequent surgical exploration of the lacrimal sac revealed a friable, solid mass filling the lacrimal sac, and extending into the duct. The mass was grossly resected with preservation of the lacrimal drainage system and placement of indwelling silicone stents. Histopathology confirmed the diagnosis of smooth muscle tumor of uncertain malignant potential. The patient remained free of epiphora and showed no clinical or radiographic evidence of recurrence at 6 months of follow up.

Original languageEnglish (US)
Pages (from-to)S29-S31
JournalOphthalmic Plastic and Reconstructive Surgery
Volume33
Issue number3S
DOIs
StatePublished - May 1 2017
Externally publishedYes

Fingerprint

Smooth Muscle Tumor
Nasolacrimal Duct
Tears
Dacryocystorhinostomy
Lacrimal Apparatus Diseases
Induction Chemotherapy
Autologous Transplantation
Silicones
Bone Marrow Transplantation
Neuroblastoma
Stents
Drainage
Radiation
Recurrence
Neoplasms

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

Cite this

Grumbine, F. L., Deparis, S. W., Vagefi, M. R., Bloomer, M., & Kersten, R. C. (2017). Lacrimal Sac Smooth Muscle Tumor of Uncertain Malignant Potential. Ophthalmic Plastic and Reconstructive Surgery, 33(3S), S29-S31. https://doi.org/10.1097/IOP.0000000000000726

Lacrimal Sac Smooth Muscle Tumor of Uncertain Malignant Potential. / Grumbine, F. Lawson; Deparis, Sarah W.; Vagefi, M. Reza; Bloomer, Michelle; Kersten, Robert C.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 33, No. 3S, 01.05.2017, p. S29-S31.

Research output: Contribution to journalArticle

Grumbine, FL, Deparis, SW, Vagefi, MR, Bloomer, M & Kersten, RC 2017, 'Lacrimal Sac Smooth Muscle Tumor of Uncertain Malignant Potential', Ophthalmic Plastic and Reconstructive Surgery, vol. 33, no. 3S, pp. S29-S31. https://doi.org/10.1097/IOP.0000000000000726
Grumbine, F. Lawson ; Deparis, Sarah W. ; Vagefi, M. Reza ; Bloomer, Michelle ; Kersten, Robert C. / Lacrimal Sac Smooth Muscle Tumor of Uncertain Malignant Potential. In: Ophthalmic Plastic and Reconstructive Surgery. 2017 ; Vol. 33, No. 3S. pp. S29-S31.
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