Titre : | Ocular Manifestation of Mantle Cell Lymphoma |
Type de document : | article de périodique |
Auteurs : | Sara Hafeez ; Alexis Mancini ; Joseph Mega ; Paul B. Greenberg ; Cory Siegel ; Amanda Hunter |
Année de publication : | 2022 |
Langues : | Français (fre) |
Descripteurs (mots clés) : | [Thésaurus Mesh]Diagnostic [Thésaurus Mesh]Lymphome à cellules du manteau [Thésaurus Mesh]Maladies de l'oeil [Thésaurus Mesh]Thérapeutique
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Résumé : | SIGNIFICANCE
Mantle cell lymphoma (MCL) is a rare lymphoma that can present even more rarely in the orbit. Diagnosis, differentiation, and systemic treatment with the help of an oncologist are necessary for improved prognosis. Eye care providers must be vigilant when addressing ocular findings to determine next steps.
PURPOSE
We present a case of presumed orbital fat prolapse confirmed as MCL found on routine eye examination.
CASE REPORT
A 72-year-old White man presented for an annual comprehensive eye examination and was found to have conjunctival elevation in the superior and inferior fornices bilaterally. The patient had stable lymphadenopathy on positron emission tomography/computed tomography imaging 1 week before presentation. Coupled with the patient's recent diagnosis of systemic MCL, there was high suspicion that the conjunctival lesions were malignant. Biopsy of the conjunctival lesion confirmed MCL. A reevaluation of the previous imaging with a neuroradiologist confirmed the presence of orbital lesions consistent with MCL. The patient responded to treatment with low-dose focal radiation therapy.
CONCLUSIONS
Primary eye care providers should be aware of limitations of orbital imaging during routine positron emission tomography and computed tomography scans in those with MCL, and consultation with neuroradiology for image review may be useful if the clinical findings are suspicious. |
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