Amyloid Pseudo-Dacryolith and Nasolacrimal Obstruction in a 67-Year-Old Male
| Autor: | Shane B. Seipel, Bryan R. Costin, Thomas Plesec, Mark R. Levine |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Systemic disease Amyloid Dacryolith Biopsy medicine.medical_treatment Dacryocystorhinostomy Malignancy Lesion 03 medical and health sciences 0302 clinical medicine Lacrimal Duct Obstruction medicine Humans Aged business.industry Amyloidosis Lacrimal Apparatus General Medicine medicine.disease Lacrimal sac Surgery Ophthalmology medicine.anatomical_structure 030221 ophthalmology & optometry 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 33:e86-e88 |
| ISSN: | 0740-9303 |
| Popis: | A 67-year-old male with a 35-year history of left-sided epiphora presented with a nonpainful, noninflamed, left medial canthal mass and complete left nasolacrimal obstruction. During routine dacryocystorhinostomy, a lesion was present within the lacrimal sac that mimicked a lacrimal stone in appearance but with a consistency concerning for malignancy. Histologically, the lesion displayed apple-green birefringence on polarized light microscopy and Congo red staining. The patient was referred to the hematology service for evaluation, which failed to reveal systemic disease. There is 1 previous report of localized amyloidosis to the nasolacrimal excretory system in which the lesion was invasive and caused bony erosion. The authors present a second case of localized, nasolacrimal amyloidosis mimicking both neoplasm and dacryolith without bony erosion. |
| Databáze: | OpenAIRE |
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