{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T07:04:55Z","timestamp":1779519895329,"version":"3.53.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":141,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Otolaryngology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Inverted papillomas (IPs) derived from the lacrimal sac are a rare pathology, with only seven cases reported in the literature.\n                    <jats:sup>1,2 \u201c<\/jats:sup>\n                    Mixed\u201d endophytic and exophytic papillomas of the lacrimal sac are even more rare, with no reports in the literature. We present the case of a 55\u2010year\u2010old man who presented to the clinic with unilateral hemolacria. Multiple imaging modalities revealed a mass in the lacrimal sac, which was subsequently surgically excised by an otolaryngologist and oculoplastic surgeon. Pathologic analysis of the specimen demonstrated both exophytic and endophytic growth patterns, suggestive of a mixed papilloma subtype. This case highlights the importance of prompt, accurate diagnosis and interdisciplinary management, as patients require regular clinical follow\u2010up to monitor recurrence and malignant transformation.\n                  <\/jats:p>","DOI":"10.1155\/crot\/6290800","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T06:17:12Z","timestamp":1779517032000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mixed Papilloma of the Lacrimal Sac as a Cause of Hemolacria"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1022-3067","authenticated-orcid":false,"given":"Carly","family":"Malesky","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madina","family":"Falcone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poornima","family":"Hegde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8487-268X","authenticated-orcid":false,"given":"Todd E.","family":"Falcone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_8_1_2","volume-title":"Inverted Papilloma Lacrimal Sac. EyeWiki Updated May 1, 2024. Accessed May 15, 2026","author":"Fowler B.","year":"2024"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.155111"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2013.27.3904"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1191"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.3341\/kjo.2009.23.2.100"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2152656719876254"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4882"},{"key":"e_1_2_8_8_2","article-title":"Lacrimal Sac Tumors","author":"Goldstein T.","year":"2024","journal-title":"EyeWiki"},{"key":"e_1_2_8_9_2","unstructured":"XuB. Sinonasal Papilloma. PathologyOutlines.com."},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8111873"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24611"}],"container-title":["Case Reports in Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crot\/6290800","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crot\/6290800","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crot\/6290800","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T06:17:13Z","timestamp":1779517033000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crot\/6290800"}},"subtitle":[],"editor":[{"given":"Rong-San","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crot\/6290800"],"URL":"https:\/\/doi.org\/10.1155\/crot\/6290800","archive":["Portico"],"relation":{},"ISSN":["2090-6765","2090-6773"],"issn-type":[{"value":"2090-6765","type":"print"},{"value":"2090-6773","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6290800"}}