Chronic bilateral lacrimal gland pseudotumor in an adult

right inferior canaliculus in a 77-year-old man [Fig. 1]. The lesion was previously subjected to biopsy by his dermatologist with histologic results of nodular BCC. Chronic epiphora was not noted. Syringing of the canaliculus by means of a cannula of 25 G showed patency of them. Total surgical excision would have caused a loss of the permeable canaliculus. Hence, intralesional treatment with recombinant INF alone was proposed. Aft er informed consent was obtained, INF alpha 2b was injected three times a week for three weeks with 1.5 x 10 (6) IU (0.15 ml) per injection. The total dose received was 13.5 x 10 (6) IU. The lesion persisted during the follow-up of six months [Fig. 2]. Wide surgical resection was then proposed. The histologic study of the resected mass conÞ rmed the persistence of nodular BCC. During a year of follow-up no recurrences have been noticed. However, a cicatricial medial ectropion was present.