Lacrimal Sac Tumors
INTRODUCTION
Lacrimal sac tumors are rare, and the etiology varies widely from benign to malignant. Any dacryostenosis or dacryocystitis has the potential to be a lacrimal sac tumor. When the lacrimal obstruction is accompanied by bloody discharge or bleeding from the nose, the possibility of tumor needs to be considered.
Epidemiology and Etiology
• Age: Adults
• Etiology: Squamous cell papillomas and carcinomas are the most common cause.
• Etiologies include
Lymphoma
Benign squamous cell papilloma
Benign transitional cell papilloma
Transitional cell carcinoma
Squamous cell carcinoma
History
• Patients present with chronic or acute dacryocystitis or a mass in the area of the lacrimal sac.
• A history of bloody discharge in the setting of dacryocystitis should alert the examiner to a possible tumor.
• Classically, the mass may be above the medial canthal tendon but early in the course may present like a dacryocystitis.
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