Paracelsus Medizinische Privatuniversität (PMU)

Research & Innovation
Publications

Malignes Melanom des Tränensacks

#2008
#OPHTHALMOLOGE

PMU Author
L. M. Heindl

All Authors
L. M. Heindl, B. Schick, E. Kämpgen, F. E. Kruse, L. M. Holbach

Journal association
OPHTHALMOLOGE

Abstract

A 68-year-old woman presented with a 10-month history of right-sided epiphora, bloody tears, and medial canthal mass. Computed tomography revealed a soft tissue mass of the right lacrimal sac with widening of the bony nasolacrimal canal. External dacryocystorhinostomy with incisional biopsy confirmed the diagnosis of malignant melanoma. After staging, further therapy included orbital exenteration, lateral rhinotomy with en bloc resection of the lacrimal drainage apparatus, and adjuvant radioimmunotherapy. One year after surgery, no evidence of local recurrence or metastatic disease could be detected.

Keywords

Aged Biopsy Combined Modality Therapy Eye Neoplasms/*diagnosis/pathology/surgery Eye, Artificial Female Follow-Up Studies Humans Lacrimal Apparatus/pathology Lacrimal Apparatus Diseases/*diagnosis/pathology/surgery Melanoma/*diagnosis/pathology/surgery Neoplasm Invasiveness Neoplasm Staging Orbit Evisceration Positron-Emission Tomography Tomography, X-Ray Computed