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Article
August 1937

PRIMARY CARCINOMA OF THE LACRIMAL SAC

Arch Ophthalmol. 1937;18(2):267-273. doi:10.1001/archopht.1937.00850080091009
Abstract

Owing to the rarity of primary carcinoma of the lacrimal sac, the following case warrants recording.

REPORT OF A CASE

History.—E. J., a man aged 78, consulted me in June 1927 with regard to a mass over the right lacrimal sac. This growth was first noticed about two months prior to the time of the examination and had slowly increased in size. His only complaint was of epiphora.

Examination.—The vision of each eye was normal. Over the region of the right lacrimal sac was a firm, smooth, round mass approximately from 1 to 1.5 cm. in diameter. The skin was not red and was freely movable. Neither tears nor pus could be expressed from the puncta. A diagnosis of mucocele was made and removal advised.

Operation.—With the part under local anesthesia, the lacrimal sac was excised after the method of Meller. The anterior wall was much thickened

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