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Tuesday, December 22, 2020

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

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

World J Clin Cases. 2020 Nov 26;8(22):5684-5689

Authors: Song XL, Yang JY, Lai YT, Zhou JY, Wang JJ, Sun XC, Wang DH

Abstract
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.

PMID: 33344561 [PubMed]

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