Fibromyxoma masquerading as dacryocystitis

Arindel S Maharaj, Seongmu Lee, Michael T. Yen

Research output: Contribution to journalArticle

2 Scopus citations


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
Issue number4
StatePublished - Jul 2012
Externally publishedYes


ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this