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Lacrimal Sac Lymphoma in a Child
Arch Ophthalmol. 2003;121:1330-1333.
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The 3 most common cancers in children in the United States include leukemia (33%), brain tumors (20%), and non-Hodgkin lymphoma (10%).1 Non-Hodgkin lymphoma in children most commonly manifests in the abdomen (35%), anterior mediastinum (26%), and peripheral lymph nodes (19%). Less than 5% of such cases occur initially in the orbit.2 In a review of 250 pediatric orbital tumors, Shields and coworkers3 found 6 cases (2.4%) of orbital lymphoma, none of which were in the lacrimal sac. Using a MEDLINE search of the English language literature from 1970 to 2002, we identified 21 reported cases of primary non-Hodgkin lymphoma of the lacrimal sac,4-13 and only 1 patient was younger than 18 years.4 We report a case of a primary non-Hodgkin lymphoma of the lacrimal sac in a 10-year-old child.
Report of a Case
A 10-year-old otherwise healthy Hispanic male had a 3-week history of painful swelling and epiphora in the left medial canthus (. . . [Full Text of this Article]
Comment
Amy C. Schefler, MD;
Carol L. Shields, MD;
Jerry A. Shields, MD;
Hakan Demirci, MD;
Marlon Maus, MD;
Ralph C. Eagle, Jr, MD
Philadelphia, Pa
Corresponding author and reprints: Carol L. Shields, MD, Ocular Oncology Service, Wills Eye Hospital, 840 Walnut St, Philadelphia, PA 19107.
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Br. J. Ophthalmol. 2006;90:1004-1009.
ABSTRACT
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