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Oncocytic carcinoma of the nasolacrimal duct treated by transnasal endoscopic resection
Author(s) -
Villaret Andrea Bolzoni,
Lombardi Davide,
Schreiber Alberto,
Farina Davide,
Nicolai Piero
Publication year - 2013
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21803
Subject(s) - nasolacrimal duct , medicine , lacrimal sac , meatus , lesion , nasolacrimal duct obstruction , carcinoma , orbit (dynamics) , endoscopy , biopsy , surgery , anatomy , radiology , pathology , engineering , aerospace engineering
Background Malignancies of the nasolacrimal apparatus are rare lesions that usually originate from the lacrimal sac. To the best of our knowledge, this is the first case of a primary oncocytic carcinoma of the nasolacrimal duct reported in the literature. Methods A 43‐year‐old woman presented with a 3‐month history of right epiphora. At nasal endoscopy, an exophytic lesion occupying the right inferior meatus was visible. Imaging studies showed an expansile lesion involving the nasolacrimal duct and the inferior meatus, but not invading the orbit or adjacent soft tissues. A biopsy was suggestive for an oncocytic lesion. Results A radical resection was obtained through an endoscopic extended medial maxillectomy with a definitive diagnosis of oncocytic carcinoma. Forty‐two months after surgery there was no evidence of disease. Conclusions In selected malignant lesions of the nasolacrimal duct not involving the adjacent soft tissues or lacrimal sac, an exclusive endoscopic approach can be considered. © 2011 Wiley Periodicals, Inc. Head Neck, 2013