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Article
December 1940

CARCINOMA OF THE LACRIMAL SACREPORT OF A SECOND CASE

Arch Ophthalmol. 1940;24(6):1237-1243. doi:10.1001/archopht.1940.00870060179011
Abstract

During the past year I have observed a second case of primary carcinoma of the lacrimal sac. The carcinoma in this case was much more advanced than in the case reported by me1 in 1937.

History.  —Mr. C. F. C., aged 66, consulted me on June 12, 1939. He stated that about five years previously he had been troubled with lacrimation of the left eye. About the same time a swelling appeared beneath the skin at the inner angle of the eye. This swelling gradually increased, and the eye was pushed forward and toward the temporal side. He had diplopia ; a gradual loss of the vision followed. In the last few months he had considerable pain.

Examination.  —There was considerable proptosis of the left eye, which was pushed forward and toward the temporal side (fig. 1 A). The motion was limited in all directions. Over the lacrimal sac there

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