Abstract
A rare case of nasolacrimal duct carcinoma is reported. A 64 year-old man visited our hospital complaining of left lacrimation and a mass in his left medial canthus. CT and MRI showed a solid heterogenous mass lesion in the nasolacrimal duct which was projected into the orbita and maxillary sinuses. Part of maxillary sinus not occupied by the lesion was filled with effusion. A preoperative cytological study using fine needle aspiration revealed a class V carcinoma, and the mass was suspected to be an adenocarcinoma. The mass was removed surgically and the bulb of the eye was preserved. A histological examination revealed a squamous cell carcinoma. Radiation therapy was performed postoperatively with a dosage of 50 Gy. The patient has been free of tumor for 24 months after the surgery.
