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Background: The lacrimal caruncle, a nodular structure located at the inner canthus, contains a variety of tissue types, leading to diverse clinical manifestations of its lesions. Caruncular lesions, though rare, may be benign or malignant, complicating diagnosis and treatment. This systematic review aims to provide a comprehensive overview of the clinical profiles, histopathological features, and management strategies for caruncular lesions.

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Melanoma of the lacrimal sac: An extremely rare location From a radiologist perspective.

Radiol Case Rep

September 2024

Radiology Department, University Hospital Center Ibn Rochd, School of Medicine and Pharmacy of Casablanca, Hassan II University, Casablanca, Morocco.

Lacrimal sac tumors are rare with epithelial tumors being the most common type. Melanoma of the lacrimal sac is an exceptional finding. Few cases have been reported so far in the literature.

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Radiation-Induced Acquired Lacrimal Drainage Obstructions: Management and Outcomes.

Semin Ophthalmol

January 2025

Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.

Article Synopsis
  • The study aimed to analyze how patients with radiation-induced acquired lacrimal duct obstructions (RALDO) were managed and their outcomes, using data from a single surgeon's retrospective chart review over five years.* -
  • Out of 16 patients with an average age of 63.3 years, most experienced epiphora symptoms about 9.5 months after radiation treatment related to various tumor types, with significant differences in the involvement of the right and left lacrimal drainage systems.* -
  • Surgical management of RALDO included various techniques based on the type and location of the obstruction, leading to tailored treatments like silicone tube placement and dilatation, with a variety of radiation therapies provided prior to the development of so
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Malignant melanoma of the conjunctiva is a rare tumor of the ocular surface with potential fatal consequences and a high likelihood of recurrence. Although routes for extending the tumor, including local, hematogenous, and lymphatogenous, are pretty straightforward, the indirect extension through free-floating tumoral cells to the nasolacrimal duct is not described thoroughly. We report a case of malignant melanoma of the conjunctiva which presented with local recurrence in the intranasal cavity and lacrimal sac two years after the primary surgery (without involvement of the ocular surface and punctum on the second occasion).

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