A Case of Malignant Melanoma of the Lacrimal Sac

Keimyung Medical Journal 2010;29(1):73-77.

누낭(Lacrimal Sac)의 악성 흑색종 1례

김동은; 여창기; 한순용; 안병훈

Abstract

Malignant melanoma of lacrimal sac is extremely rare and can present with epiphora; bloody tear; and nasal bleeding. Its current management consists of surgical resection; chemotherapy; radiation therapy; and immunotherapy. The wide-field en bloc resection with removal of the entire nasolacrimal system; especially clearly defined tumor margins; ensures the best protection against recurrence. We present a case of malignant melanoma of lacrimal sac that is spread to inferior meatus and periorbital area. We excised the mass completely via medial maxillectomy including dacryocystectomy; but didn`t accompany adjunctive therapy because the treatment effect remains controversial. To date; after 15 months follow-up; there is no evidence of local recurrence and distant metastasis. A literature review was also done; in addition.

Key Words: Lacrimal sac, malignant melanoma, surgical resection