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Primary non Hodgkin's lymphoma of the lacrimal sac

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Author(s): Venkitaraman Ramachandran | George Mathew

Journal: World Journal of Surgical Oncology
ISSN 1477-7819

Volume: 5;
Issue: 1;
Start page: 127;
Date: 2007;
Original page

ABSTRACT
Abstract Background Primary Non Hodgkin's Lymphoma (NHL) of the lacrimal sac is rare. Methods The clinical features of a 78 year old female who presented with epiphora and swelling of the left lacrimal sac are described. Results Computerised tomography showed a mass involving the left lacrimal sac. Histopathological examination revealed a diffuse large B cell NHL. Immunohistological examination demonstrated B cell origin. Chemotherapy could not be administered due to co morbid conditions. The patient was treated with radiotherapy to a dose of 45 Gy in 25 fractions. Patient is disease free and on follow up after 36 months. Conclusion Primary radiotherapy is a treatment option with curative potential for localized NHL of the lacrimal sac and may be considered in patients who cannot tolerate appropriate chemotherapy.
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