Lacrimal Sac Tumour Presenting with Blood-Stained Ocular Discharge

CC Yip, KG Au Eong, CT Choo
Correspondence: Choo Chai Teck, cct@pacific.net.sg

ABSTRACT
Malignant epithelial tumours of the lacrimal sac are uncommon. They can mimic chronic dacryocystitis or dacryostenosis to cause a delay in diagnosis. The presence of a medial canthal lump with blood-stained ocular discharge should arouse the suspicion of this diagnosis. The prognosis of lacrimal sac tumour is often guarded especially following tumour recurrence after incomplete resection. We report a patient with squamous cell carcinoma of the lacrimal sac to highlight its presentation and clinical course.

Keywords: Bloodstained discharge, medial canthal lump, lacrimal sac tumour, squamous cell carcinoma
Singapore Med J 2002; 43(3): 156-158