Fibromyxoma masquerading as dacryocystitis

Arindel S Maharaj, Seongmu Lee, Michael T. Yen

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Primary tumors of the lacrimal sac are extremely rare and predominantly epithelial in origin. We report a unique case of fibromyxoma of the lacrimal sac in an 86-year-old Caucasian woman who presented with 3 months of lower eyelid edema and 1 week of purulent discharge, epiphora, and acute pain. Examination revealed right lower eyelid erythema/edema and a tender, firm, palpable mass of the right lacrimal sac, which self-expressed a yellow, purulent discharge. On surgical exploration, a firm, rubbery, yellow mass was encountered and excised. Histopathologic analysis identified a nonencapsulated mass composed of loose interlacing fascicles and bundles of spindle-shaped cells with prominent myxoid changes; immunostaining was strongly positive for vimentin, weakly for smooth muscle actin, and negative for S-100 and muscle-specific actin. These findings were consistent with the diagnosis of a fibromyxoma of the lacrimal drainage system. After excision, the patient did well, with resolution of dacryocystitis.

Original languageEnglish (US)
JournalOphthalmic Plastic and Reconstructive Surgery
Volume28
Issue number4
DOIs
StatePublished - Jul 2012
Externally publishedYes

Fingerprint

Dacryocystitis
Nasolacrimal Duct
Fibroma
Eyelids
Actins
Edema
Lacrimal Apparatus Diseases
Acute Pain
Vimentin
Erythema
Tears
Smooth Muscle
Drainage
Muscles
Neoplasms

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Fibromyxoma masquerading as dacryocystitis. / Maharaj, Arindel S; Lee, Seongmu; Yen, Michael T.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 28, No. 4, 07.2012.

Research output: Contribution to journalArticle

@article{e47d9651efb34d898598127966aef4c4,
title = "Fibromyxoma masquerading as dacryocystitis",
abstract = "Primary tumors of the lacrimal sac are extremely rare and predominantly epithelial in origin. We report a unique case of fibromyxoma of the lacrimal sac in an 86-year-old Caucasian woman who presented with 3 months of lower eyelid edema and 1 week of purulent discharge, epiphora, and acute pain. Examination revealed right lower eyelid erythema/edema and a tender, firm, palpable mass of the right lacrimal sac, which self-expressed a yellow, purulent discharge. On surgical exploration, a firm, rubbery, yellow mass was encountered and excised. Histopathologic analysis identified a nonencapsulated mass composed of loose interlacing fascicles and bundles of spindle-shaped cells with prominent myxoid changes; immunostaining was strongly positive for vimentin, weakly for smooth muscle actin, and negative for S-100 and muscle-specific actin. These findings were consistent with the diagnosis of a fibromyxoma of the lacrimal drainage system. After excision, the patient did well, with resolution of dacryocystitis.",
author = "Maharaj, {Arindel S} and Seongmu Lee and Yen, {Michael T.}",
year = "2012",
month = "7",
doi = "10.1097/IOP.0b013e3182368417",
language = "English (US)",
volume = "28",
journal = "Ophthalmic Plastic and Reconstructive Surgery",
issn = "0740-9303",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Fibromyxoma masquerading as dacryocystitis

AU - Maharaj, Arindel S

AU - Lee, Seongmu

AU - Yen, Michael T.

PY - 2012/7

Y1 - 2012/7

N2 - Primary tumors of the lacrimal sac are extremely rare and predominantly epithelial in origin. We report a unique case of fibromyxoma of the lacrimal sac in an 86-year-old Caucasian woman who presented with 3 months of lower eyelid edema and 1 week of purulent discharge, epiphora, and acute pain. Examination revealed right lower eyelid erythema/edema and a tender, firm, palpable mass of the right lacrimal sac, which self-expressed a yellow, purulent discharge. On surgical exploration, a firm, rubbery, yellow mass was encountered and excised. Histopathologic analysis identified a nonencapsulated mass composed of loose interlacing fascicles and bundles of spindle-shaped cells with prominent myxoid changes; immunostaining was strongly positive for vimentin, weakly for smooth muscle actin, and negative for S-100 and muscle-specific actin. These findings were consistent with the diagnosis of a fibromyxoma of the lacrimal drainage system. After excision, the patient did well, with resolution of dacryocystitis.

AB - Primary tumors of the lacrimal sac are extremely rare and predominantly epithelial in origin. We report a unique case of fibromyxoma of the lacrimal sac in an 86-year-old Caucasian woman who presented with 3 months of lower eyelid edema and 1 week of purulent discharge, epiphora, and acute pain. Examination revealed right lower eyelid erythema/edema and a tender, firm, palpable mass of the right lacrimal sac, which self-expressed a yellow, purulent discharge. On surgical exploration, a firm, rubbery, yellow mass was encountered and excised. Histopathologic analysis identified a nonencapsulated mass composed of loose interlacing fascicles and bundles of spindle-shaped cells with prominent myxoid changes; immunostaining was strongly positive for vimentin, weakly for smooth muscle actin, and negative for S-100 and muscle-specific actin. These findings were consistent with the diagnosis of a fibromyxoma of the lacrimal drainage system. After excision, the patient did well, with resolution of dacryocystitis.

UR - http://www.scopus.com/inward/record.url?scp=84863988958&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863988958&partnerID=8YFLogxK

U2 - 10.1097/IOP.0b013e3182368417

DO - 10.1097/IOP.0b013e3182368417

M3 - Article

C2 - 22186984

AN - SCOPUS:84863988958

VL - 28

JO - Ophthalmic Plastic and Reconstructive Surgery

JF - Ophthalmic Plastic and Reconstructive Surgery

SN - 0740-9303

IS - 4

ER -