Case Report


Adenoid cystic carcinoma of the lacrimal sac: A case report

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1 Radiology Department, National Institute of Oncology, Mohammed V University, Rabat, Morocco

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Kaoutar Imrani

Radiology Department, National Institute of Oncology, Mohammed V University, Rabat,

Morocco

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Article ID: 101273Z01KI2021

doi: 10.5348/101273Z01KI2021CR

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How to cite this article

Imrani K, Oubaddi T, Jerguigue H, Latib R, Omor Y. Adenoid cystic carcinoma of the lacrimal sac: A case report. Int J Case Rep Images 2021;12:101273Z01KI2021.

ABSTRACT


Introduction: Adenoid cystic carcinoma (ACC) of the lacrimal sac is a rare entity characterized by poor prognosis, because of the high rate of local recurrence and metastasis after treatment.

Case Report: A 45-year-old male patient was seen at our institution for epiphora, pain, and swelling of the internal angle of the left eye evolving for three months. The clinical examination revealed a fixed mass above the medial canthus of the left eye with blood discharge from the lacrimal punctum at the pressure of the mass. Orbital magnetic resonance imaging (MRI) showed a left lacrimal sac mass. Incisional biopsy disclosed adenoid cystic carcinoma.

Conclusion: This is a rare case of lacrimal sac malignant tumor. Adenoid cystic carcinoma can develop in the salivary or lacrimal glands; however, its occurrence in the lacrimal drainage apparatus is extremely rare. Imaging plays a key role in the diagnosis, thanks to computed tomography (CT) scan and magnetic resonance imaging (MRI) which allow a detailed analysis of the local and distant extension, as well as in post-treatment follow-up.

Keywords: Adenoid carcinoma, Lacrimal sac, MRI

SUPPORTING INFORMATION


Author Contributions

Kaoutar Imrani - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Tlaite Oubaddi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Hounayda Jerguigue - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Rachida Latib - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Youssef Omor - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Kaoutar Imrani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.