Rosai-Dorfman with Bilateral Involvement of Lacrimal Sac as Extranodal Disease

Abstract

A 45 year old female presented with painless swelling over the inner side of both eyes since one year. Magnetic resonance imaging (MRI) scan revealed well defined lesions in the bilateral lacrimal sac area with extension along the naso-lacrimal duct. Systemic work up showed polyclonal hyperglobulinemia, raised erythrocyte sedimentation rate (ESR) and anemia. The patient also had subcutaneous swelling in thoracic area over back. The histopathology of the bilateral excised tumor and fine needle aspiration cytology of thoracic swelling was consistent with features of Rosai-Dorfman syndrome.

Keywords::

• Rosai-Dorfman syndrome
• lacrimal sac
• histiocytosis

ACKNOWLEDGMENTS

Authors have no acknowledgments or financial interest.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.