Management with Radical Excision in Squamous Cell Carcinoma of the Lacrimal Sac
Journal of the Korean Ophthalmological Society
; : 1030-1035, 2004.
Article
in Ko
| WPRIM
| ID: wpr-11068
Responsible library:
WPRO
ABSTRACT
PURPOSE: Squamous cell carcinoma of the lacrimal sac is rare and there is high rate of recurrence after dacryocystectomy. We report successful radical excision of the tumor for the purpose of reducing the recurrence and improving the survival rate. METHODS: A 48-year-old man who had a history of epiphora and medial canthal mass for one year was referred to our clinic. CT scan showed a mass on the lacrimal fossa but there was no evidence of bony destruction or local invasion. We confirmed that the excised mass was squamous cell carcinoma of the lacrimal sac by frozen section. So, radical excision including bony and mucous nasolacrimal duct (NLD), inferior turbinate, and medial maxilla was performed through lateral rhinotomy. RESULTS: Ten months later, there was skin defect and medial canthal deformity. So we corrected the deformity with a forehead free flap and the result was cosmetically acceptable. There was no evidence of recurrence or distant metastasis for one- year follow- up period. CONCLUSIONS: Despite its high recurrence rate, we can reduce the recurrence and mortality rate of squamous cell carcinoma of the lacrimal sac with radical excision including bony and mucous NLD, inferior turbinate, and medial maxilla.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Recurrence
/
Skin
/
Congenital Abnormalities
/
Turbinates
/
Carcinoma, Squamous Cell
/
Tomography, X-Ray Computed
/
Survival Rate
/
Mortality
/
Free Tissue Flaps
/
Forehead
Type of study:
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2004
Document type:
Article