Localized amyloidosis affecting the lacrimal sac managed by endoscopic surgery: A case report

被引:0
|
作者
Xiao-Le Song [1 ]
Jing-Yi Yang [1 ]
Yu-Ting Lai [1 ]
Jia-Ying Zhou [1 ]
Jing-Jing Wang [1 ]
Xi-Cai Sun [1 ]
De-Hui Wang [1 ]
机构
[1] Department of Otorhinolaryngology, Eye, Ear, Nose, and Throat Hospital, Fudan University
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中图分类号
R779.6 [眼外科手术学];
学科分类号
100212 ;
摘要
BACKGROUND Here we present a rare case of localized amyloidosis involving the nasolacrimal duct and lacrimal sac which was managed by endoscopic surgery.CASE SUMMARY A 50-year-old man whose medical history included bilateral ventricular fold and vocal cord amyloidosis complained of bilateral epiphora. Magnetic resonance imaging revealed a neoplasm within the nasolacrimal sac. Characteristic positivity for Congo red staining and birefringence under a polarized microscope proved the diagnosis of amyloidosis. Dacryocystorhinostomy via an endoscope obtained a favorable result. A one-year follow-up found no recurrence.CONCLUSION There are few reports on amyloidosis involving the lacrimal outflow system, and management and outcome are not clear. Endoscopic dacryocystorhinostomy can be a choice to relieve symptoms. Regular follow-up and monitoring of systemic diseases are highly recommended.
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页码:5684 / 5689
页数:6
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