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Nasolacrimal duct tumours in the era of endoscopic dacryocystorhinostomy: literature review

Published online by Cambridge University Press:  12 June 2013

F Tanweer ,
K Mahkamova  and
P Harkness
F Tanweer*
Affiliation:
Department of ENT, Queen's Medical Centre, Nottingham, UK
K Mahkamova
Affiliation:
Department of ENT, Doncaster Royal Infirmary, UK
P Harkness
Affiliation:
Department of ENT, Rotherham District General Hospital, UK
*
Address for correspondence: Mr F Tanweer, 36 Sanderling Way, Mansfield NG19 0GH, UK Fax: 01302 323733, E-mail: faiztanweer@googlemail.com
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Abstract

Background:

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.

Method:

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.

Results:

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.

Conclusion:

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.

Keywords

Nasolacrimal Duct TumourLacrimal Duct ObstructionDacryocystorhinostomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 7 , July 2013 , pp. 670 - 675
Copyright
Copyright © JLO (1984) Limited 2013 

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