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Original Article
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Korean J Med. 2009;77(5):1304-1308.
- 누낭에 발생한 원발성 선양낭성암종 1예
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이찬현·김현정·김찬규·박성규·고윤우·고은석·홍대식, , , , , ,
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- Primary adenoid cystic carcinoma of the lacrimal sac
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Chan-Hyun Lee, Hyun Jung Kim, Chan-Kyu Kim, Sung-Kyu Park, Yoon-Woo Koh, Eun-Suk Koh, Dae-Sik Hong
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- Abstract
- A 52-year-old woman presented with a right nasal obstruction that was first noticed about 6 months earlier. Physical examination
revealed a painless mass in the right inferior epicanthal fold area with a purulent discharge on the punctum on compressing the right
inferior epicanthal fold area. Computed tomography (CT) and magnetic resonance imaging (MRI) delineated a soft tissue mass
originating in the area of the right nasolacrimal duct, extending into the orbit and nasal fossa.
Radical surgery, consisting of a right medial maxillectomy, partial anterior ethmoidectomy, and partial removal of the nasal bone
was performed. The postoperative pathological diagnosis was primary adenoid cystic carcinoma of the lacrimal sac. One month
postoperatively, adjuvant concurrent chemoradiotherapy was begun. The patient was clinically and radiologically free of the tumor
at the 3-month follow-up. This case is the first report of primary adenoid cystic carcinoma arising from the lacrimal sac in Korea.
(Korean J Med 77:S1304-S1308, 2009)
Keywords :Adenoid cystic carcinoma, Lacrimal sac
