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Solitary fibrous tumour of lacrimal sac masquerading as lacrimal sac mucocele: a diagnostic and surgical dilemma
  1. Bijnya Birajita Panda1,
  2. Shilpa Viswanath1,
  3. Manas Baisakh2 and
  4. Sudhasmita Rauta2
  1. 1Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
  2. 2Department of Pathology, Prolife Diagnostics, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Bijnya Birajita Panda; bigyan_panda{at}


Swellings in medial canthal area in eye most often involve the lacrimal sac, the commonest aetiology being chronic dacryocystitis. Very rarely, there is a deviation in the routine diagnosis when the pathology comes out to be a lacrimal sac tumour. We report the case of a young man who presented with a medial canthal mass not extending above the medial canthal ligament. The clinical presentation was typical for a lacrimal sac mucocele, however on histopathological evaluation was diagnosed as a rare case of solitary fibrous tumour of lacrimal sac. We recommend radiological investigation in medial canthal masses where there is negative regurgitation on pressure over lacrimal sac area to avoid misdiagnoses.

  • Ophthalmology
  • Pathology
  • Surgical oncology

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  • Contributors BP, SV designed the study, drafted the manuscript, BP revised the manuscript. MB provided scientific contribution and SR contributed to the initial drafting of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.