눈물주머니에 발생한 연소형 황색육아종 1예

• 영문명: A Case of Juvenile Xanthogranuloma in the Lacrimal Sac
• 발행기관: 대한안과학회
• 저자명: 고상준 김상덕,Sang Jun Ko, MD, Sang Duck Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number2, 348~352쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.02.15

영문 초록

Purpose: To report a rare case of juvenile xanthogranuloma in the lacrimal sac. Case summary: An 8-year-old female presented to our hospital with epiphora and palpable mass on the left medial canthal area. As a symptom, a sticky and bloody discharge through the punctum had begun on occasion 3 months previously. When pressure was applied on the left medial canthal area, a mucoid discharge through the punctum occurred, and a solid mass was palpable. The mass localized in the lacrimal sac and upper nasolacrimal duct was observed on orbit CT. No invasion into the surrounding tissue was present. The authors of the present study decided to perform endonasal dacryocystorhinostomy, and subsequently a skin-colored mass was found in the lacrimal sac. The histopathological and immunohistochemical diagnosis was histiocytic proliferation, compatible with juvenile xanthogranuloma. Six months later, the patient complained of epiphora recurrence with palpable mass on medial canthal area. The tumor recurrence was confirmed with enhanced orbit CT finding 14 months after the first surgery. A second surgery using endonasal dacryocystorhinostomy was performed to remove the mass. J Korean Ophthalmol Soc 2012;53(2):348-352

키워드

Endonasal dacryocystorhinostomy, Juvenile xanthogranuloma, Lacrimal sac tumor