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October 1997

Esthesioneuroblastoma Presenting With Epiphora in a Young Child

Author Affiliations

Alicante, Spain
Valencia, Spain

Arch Ophthalmol. 1997;115(10):1330-1331. doi:10.1001/archopht.1997.01100160500025

Esthesioneuroblastoma (ENB) is an uncommon tumor believed to arise from the olfactory epithelium.1 This neoplasm has rarely been reported in children, with only 12 cases reported to date among patients younger than 10 years.2 The usual initial symptom in children, as in older patients, is nasal obstruction or epistaxis3; consequently, the tumor is often first seen by an otorhinolaryngologist. We report a case of ENB in a young child in whom the initial symptom was epiphora; to our knowledge, this initial symptom is previously unreported, and ENB must now be considered in the differential diagnosis of epiphora in childhood.

Report of a Case.  A white 6-year-old male child was seen on January 25, 1996, with a 5-month history of epiphora in the right eye. His condition was initially diagnosed elsewhere as conjunctivitis and was treated with topical antibiotics. His medical history was unremarkable.Initial examination results revealed

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