Premium
Transitional cell neoplasm of the nasolacrimal duct associated with human papillomavirus type 11
Author(s) -
Vickers Jennifer L.,
Matherne Ryan J.,
Allison Ashley W.,
Wilkerson Michael G.,
Tyring Stephen K.,
Bartlett Brenda L.,
Rady Peter L.,
Kelly Brent C.
Publication year - 2010
Publication title -
journal of cutaneous pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 75
eISSN - 1600-0560
pISSN - 0303-6987
DOI - 10.1111/j.1600-0560.2009.01351.x
Subject(s) - nasolacrimal duct , canthus , medicine , lacrimal sac , pathology , atypia , papilloma , neoplasm , lesion , anatomy , eyelid , radiology , surgery
Background: Tumors of the lacrimal sac are rare but noteworthy because of their significant potential to become malignant or life‐threatening if treatment is delayed. Dermatologists may be the first to encounter such neoplasms. Observations: We report a case of a 53‐year‐old Caucasian woman who presented with a seven‐year history of an asymptomatic, subcutaneous nodule near her right medial canthus. Histology of the lesion revealed transitional epithelium in a papillary growth pattern with numerous goblet cells, scattered mitoses and focal full‐thickness atypia. The patient was diagnosed with transitional cell neoplasm (inverted papilloma‐type) of the nasolacrimal duct. PCR evaluation identified HPV type 11 in the lesion. Conclusion: Our report is one of a growing number of case reports and series detecting HPV DNA in these tumors which further supports HPV as an etiologic agent in epithelial lacrimal sac tumors. We believe that dermatopathologists need to be aware of this entity, as dermatologists may be the first to encounter these neoplasms. Limitations: The association of HPV with this tumor does not prove causality. Vickers JL, Matherne RJ, Allison AW, Wilkerson MG, Tyring SK, Bartlett BL, Rady PL, Kelly BC. Transitional cell neoplasm of the nasolacrimal duct associated with human papillomavirus type.