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Case report| Volume 65, ISSUE 2, e33-e36, February 2012

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Surgical management of transitional cell carcinoma of the lacrimal sac: Is it time for a new treatment algorithm?

  • Shofiq Islam
    Correspondence
    Corresponding author. Tel./fax: +44 (0) 2476 844105.
    Affiliations
    Department of General Surgery, The Royal Wolverhampton Hospital, New Cross, Wolverhampton UK
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  • Alexandria Thomas
    Affiliations
    Head and Neck Unit, Department of Maxillofacial Surgery, The John Hunter Hospital (JHH), NSW, Australia

    Head and Neck Unit, Department of Otorhinolaryngology, The John Hunter Hospital (JHH), NSW, Australia
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  • Robert L. Eisenberg
    Affiliations
    Head and Neck Unit, Department of Maxillofacial Surgery, The John Hunter Hospital (JHH), NSW, Australia

    Head and Neck Unit, Department of Otorhinolaryngology, The John Hunter Hospital (JHH), NSW, Australia
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  • Gary R. Hoffman
    Affiliations
    Head and Neck Unit, Department of Maxillofacial Surgery, The John Hunter Hospital (JHH), NSW, Australia

    Head and Neck Unit, Department of Otorhinolaryngology, The John Hunter Hospital (JHH), NSW, Australia

    University of Newcastle, NSW, Australia
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Published:October 10, 2011DOI:https://doi.org/10.1016/j.bjps.2011.09.029

      Summary

      Transitional cell carcinoma (TCC) arising in the lacrimal sac is a rare neoplasm. Despite radical surgery and radiotherapy, these tumors generally have a poor prognosis due to an often late diagnosis, high rate of loco-regional recurrence and mortality. There are only a relatively small number of documented cases of TCC when compared to other epithelial malignancies of the lacrimal drainage system. As would be anticipated, there are currently no evidence-based clinical practice guidelines for the treatment of these lesions. We present an illustrative case and consider the literature in relation to current surgical management of these tumors. We propose an alternate management consideration for these tumors.

      Keywords

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