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Tumors of the Lacrimal Drainage System

  • Gangadhara Sundar
Chapter

Abstract

The lacrimal drainage apparatus are paired structures that commence from the medial end of the upper and lower eyelid margins as the lacrimal puncta at the mucocutaneous junction, course through the medial end of the eyelid and the anterior limbs of the medical canthal tendon as the upper and lower canaliculi, which in most individuals merge into a common lacrimal canaliculus. The common canaliculus enters the lacrimal sac at its lateral wall with the fundus above and the body below, which then courses along the medial wall of the maxilla to open into the inferior nasal meatus under the inferior turbinate at the valve of Hasner. In general, tumors arising from the upper lacrimal drainage system are uncommon and when occur are usually benign especially at the punctal orifices. Tumors of the lacrimal sac and the nasolacrimal duct are extremely rare and when suspected, all efforts should be ensured to rule out malignancy.

Keywords

Human Papilloma Virus Paranasal Sinus Transitional Cell Carcinoma Nasolacrimal Duct Inverted Papilloma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Heindl LM, Junemann AGM, Kruse FE, et al. Tumours of the lacrimal drainage system. Orbit. 2010;29:298–306.PubMedCrossRefGoogle Scholar
  2. 2.
    Pe’er JJ, Stefanyszyn M, Hidayat AA. Nonepithelial tumours of the lacrimal sac. Am J Ophthalmol. 1994;118:650–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Stephanyszyn MA, Hidayat AA, Pe’er JJ, et al. Lacrimal sac tumours. Ophthal Plast Reconstr Surg. 1994;10:169–84.CrossRefGoogle Scholar
  4. 4.
    Pujari A, Ali MJ, Mulay K, et al. The black lacrimal sac: a clinicopathological correlation of malignant melanoma with anterior lacrimal crest infiltration. Int Ophthalmol. 2014;34:111–5.PubMedCrossRefGoogle Scholar
  5. 5.
    Ryan SJ, Font RL. Primary epithelial neoplasms of the lacrimal sac. Am J Ophthalmol. 1973;76:73–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Karcioglu ZA, Caldwell DR, Reed HT. Papillomas of the lacrimal drainage system. A clinicopathologic study. Ophthalmic Surg. 1984;15:670–6.PubMedGoogle Scholar
  7. 7.
    Hornblass A, Jakobiec FA, Bosniak S, et al. The diagnosis and management of epithelial neoplasms of the lacrimal sac. Ophthalmology. 1980;87:476–90.PubMedCrossRefGoogle Scholar
  8. 8.
    Ni C, Wagoner MD, Wang WJ, et al. Mucoeidermid carcinomas of the lacrimal sac. Arch Ophthalmol. 1983;101:1572–4.PubMedCrossRefGoogle Scholar
  9. 9.
    Spalton DJ, O’Donnell PJ, Graham EM. Lethal midline lymphoma causing acute dacryocystitis. Br J Ophthalmol. 1981;65:503–6.PubMedCrossRefPubMedCentralGoogle Scholar
  10. 10.
    Benger RS, Frue BR. Lacrimal drainage obstruction from lacrimal sac infiltration by lymphocytic neoplasia. Am J Ophthalmol. 1986;101:242–5.PubMedCrossRefGoogle Scholar
  11. 11.
    Economides NG, Page RC. Metastatic melanoma of the lacrimal sac. Ann Plast Surg. 1985;15:244–6.PubMedCrossRefGoogle Scholar
  12. 12.
    Wormald PJ, Ooi E, van Hasselt A, Nair S. Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope. 2003;113:867–73.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Orbit and Oculofacial SurgeryNational University of SingaporeSingaporeSingapore

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