Acquired Capillary Hemangioma in the Lacrimal Sac Region

Abstract

To describe two cases of acquired capillary hemangiomas in adults, in the lacrimal sac region. Interventional case reports. Review of the history, clinical examination, and pathologic findings. Two patients, an 80-year-old woman and a 50-year-old man, presented with a history of tearing and a slowly growing nodular mass in the lacrimal sac area. Probing and irrigation showed a patent drainage system in both cases. Both lesions were biopsied. Histopathologic examination of the specimens showed capillary hemangiomas. Capillary hemangiomas in the lacrimal sac area may present with clinical features of more common lesions such as dacryocystitis or mucocele, or rarer lacrimal sac malignancies. They should therefore be considered in the differential diagnosis of any nodular lesion in this area in adults, even at a very late age.