ReviewBosnian journal of basic medical sciences2017
Clinical significance of routine lacrimal sac biopsy during dacryocystorhinostomy: A comprehensive review of literature.
Review in Bosnian journal of basic medical sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Lacrimal Sac and Nasolacrimal Duct Tumors Mimicking Chronic Inflammation: A Systematic Review.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Research on animal models of chronic dacryocystitis in dogs.BMC ophthalmology · 2026Article
- Diagnostic utility of bony nasolacrimal duct area on computed tomography for differentiating malignant lacrimal tumors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Reduced Neutrophil-to-Eosinophil Ratio in Chronic Dacryocystitis: A Hematological Clue to Allergic Pathogenesis.Journal of ophthalmology · 2026Article
- Association of morphologic pattern and biometric characteristics of the tear ducts in dacryostenosis.International ophthalmology · 2025Article
- Dacryoendoscopy as a frontier technology for lacrimal drainage disorders.Japanese journal of ophthalmology · 2025Review
- Delayed Diagnosis and Misdiagnosis of Lacrimal Sac Tumors in Patients Presenting with Epiphora: Diagnosis, Treatment, and Outcomes.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- Exclusive or combined endoscopic approach to tumours of the lower lacrimal pathway: review of the literature.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2024Review
- Human papillomavirus-related neoplasia of the ocular adnexa.Acta ophthalmologica · 2022Article
- Lacrimal Sac Tumors: A Case Series.Ocular oncology and pathology · 2022Article
- Lacrimal sac lymphoma: a case series and literature review.International journal of ophthalmology · 2022Article
- A case report of exophytic nasal papilloma with acute dacryocystitis as the first symptom.BMC ophthalmology · 2021Article
- Mascara-induced nasolacrimal duct obstruction.BMJ case reports · 2021Article
- The predictive value of nasolacrimal sac biopsy in endoscopic dacryocystorhinostomy.Annals of medicine and surgery (2012) · 2021Article
- Iodine-125 interstitial brachytherapy for malignant lacrimal sac tumours: an innovative technique.Eye (London, England) · 2021Article
- Computed tomography imaging features for amyloid dacryolith in the nasolacrimal excretory system: A case report.World journal of clinical cases · 2021Article
- [Masquerade lacrimal duct stenosis: prevalence of lacrimal sac tumors].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020Article
- An Unusual Presentation of Large B-cell Lymphoma.Cureus · 2019Article
- Pathological changes of the nasolacrimal duct in rabbit models of chronic dacryocystitis: correlation with lacrimal endoscopic findings.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The main purpose of this paper is to provide the information about the incidence and types of pathology of secondary acquired obstructions of the lacrimal excretory outflow system caused by primary lacrimal sac non-neoplastic and neoplastic lesions. After a thorough literature search, 17 case-control studies were found and selected, data were extracted and categorized, to evaluate specific lacrimal sac pathology mimicking inflammation. A total of 3865 histopathologically examined lacrimal sac wall biopsy specimens from 3662 patients, taken during dacryocystorhinostomy for clinically presumed primary chronic dacryocystitis, were analyzed. The most common reported histopathological finding was non-specific chronic inflammation with or without fibrosis (94.15% of cases). Lacrimal sac-specific pathologies were present in 226 (5.85%) cases. Unsuspected lacrimal sac-specific pathologies were present in 55/226 (24.34%) cases. Almost 45% of primary lacrimal sac malignant neoplasms were not suspected, preoperatively and intraoperatively. Tumor-like lesions of the lacrimal sac were the most common pathology found: (1) lacrimal stones-dacryoliths, (2) pyogenic granuloma, (3) granulation tissues, (4) reactive lymphoid hyperplasia, and (5) lacrimal sac-specific inflammation (Wegener's granulomatosis and sarcoidosis). Neoplastic pathology was found in 55/3865 (1.42%) lacrimal sac wall biopsy specimens; of those, malignant cases were 2.24 times more frequent than benign. Lymphoma was the most common preoperatively unsuspected or intraoperatively unexpected neoplastic pathology. This analysis of the relevant literature highlights the value of routine lacrimal sac biopsy during surgery for clinically presumed primary acquired nasolacrimal duct obstruction.
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