Primary conjunctival follicular lymphoma mimicking chronic conjunctivitis

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• 作者：S. Labrador Velandia^a ; ^{sonia_labrador@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; E. Garcí ; a Lagarto^b ; M.A. Saornil^c ; C. Garcí ; a Á ; lvarez^c ; R. Cuello^d ; P. Diezhandino^e
• 关键词：Chronic conjunctivitis ; Reactive lymphoid hyperplasia ; Follicular lymphoma ; Follicular conjunctivitis ; Conjunctival lymphoma
• 刊名：Archivos de la Sociedad Española de Oftalmología (English Edition)
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：91
• 期：2
• 页码：86-89
• 全文大小：1744 K

文摘

The case is presented of a 43-year-old male patient with chronic follicular conjunctivitis, negative bacterial serology, and refractory to local treatment. The incisional biopsy performed showed to be consistent with reactive lymphoid hyperplasia. A year later, a new incisional biopsy showed follicular lymphoma, with no systemic involvement, and he was treated with local radiotherapy.

Discussion

When a chronic follicular conjunctivitis is refractory to treatment, it is essential to perform an incisional biopsy to establish the histopathological diagnosis that can range from chronic inflammation, reactive lymphoid hyperplasia to lymphoma. Follicular lymphoma is rare among conjunctival lymphomas, and the staging is indispensable for the correct therapeutic approach.