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Korean J Ophthalmol. 2009 Jun;23(2):100-3. doi: 10.3341/kjo.2009.23.2.100. Epub 2009 Jun 9.

A case of recurrent Schneiderian papilloma of the lacrimal sac invading the nasal cavity.

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  • 1Department of Ophthalmology, Dongsan Medical Center, Keimyung University, Daegu, Korea.


A 44-year-old man presented with a history of chronic epiphora, discharge from the right eye, and a palpable mass in the medial canthal area. Irrigation of the lacrimal system revealed bloody discharge. Orbital magnetic resonance imaging (MRI) showed a well-defined heterogeneous enhanced mass filling the lacrimal sac and upper nasolacrimal duct (NLD). A wide excision and surgical biopsy were performed. Histopathology showed the tumor to be an exophytic Schneiderian papilloma with moderate to severe dysplasia. Three months later, the mass was found to be invading the nasal cavity through the NLD. Endoscopic histopathological evaluation confirmed that it was identical to the originally identified papilloma.


Lacrimal sac; Recurrent exophytic papilloma; Schneiderian papilloma

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