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Juvenile Xanthogranuloma of the Lacrimal Sac Fossa

Authors
Journal
American Journal of Ophthalmology
0002-9394
Publisher
Elsevier
Volume
123
Issue
3
Identifiers
DOI: 10.1016/s0002-9394(14)70139-4
Disciplines
  • Biology
  • Medicine

Abstract

Purpose Masses involving the medial canthus and lacrimal sac fossa include dacryocystoceles and, less commonly, mucoceles, hemangiomas, diverticula, and lacrimal sac neoplasms. To our knowledge, juvenile xanthogranuloma presenting as a lacrimal sac fossa mass has not been previously reported. Methods We examined a 2-year-old boy who had epiphora in the left eye since birth and a mass in the left lacrimal sac fossa for 6 weeks. During surgery, left lacrimal probing disclosed obstruction at the level of the common canaliculus and lacrimal sac. Exploration and excision of the mass were performed. Results Histopathologic evaluation disclosed a juvenile xanthogranuloma characterized by an inflammatory cell infiltrate with foamy histiocytes and scattered Touton-type multinucleated giant cells. Conclusion Juvenile xanthogranuloma should be included in the differential diagnosis of a medial canthal and lacrimal sac fossa mass.

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