Bilateral ocular panadnexal mass as initial presentation of systemic blastoid variant of mantle-cell lymphoma

详细信息    查看全文

• 作者：Dejan M. Ra&scaron ; ić ; MD^a ; ^b ; ^c ; ^{drnajed@gmail.com} ; Miroslav Knežević ; MD ; PhD^a ; ^b ; Tatjana Terzić ; MD ; PhD^a ; ^d ; Gordana Vlajković ; MD ; PhD^a ; ^b
• 关键词：lymphoma ; mantle cell ; blastic ; blastoid ; ocular adnexal region ; orbit ; lacrimal gland ; conjunctiva ; eyelid ; lacrimal sac
• 刊名：Survey of Ophthalmology
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：62
• 期：1
• 页码：83-88
• 全文大小：1797 K
• 卷排序：62

文摘

A 66-year-old man developed a slowly enlarging, bilateral, painless, periorbital, and orbital swelling with ptosis, nonaxial proptosis, chemosis, exposure keratopathy, and decreased vision in both eyes. He had fever, night sweats, and weight loss (B-symptoms), along with lymphadenopathy and elevated serum lactate dehydrogenase, with no prior history of lymphoma. A transpalpebral incisional biopsy revealed a rare case of mantle-cell lymphoma of blastoid variant, stage IVB. The main immunophenotype characteristics were cyclin D1+, CD5+, CD10−, CD23−, Bcl-6−/+, and a high (up to 80%) Ki-67 proliferation index. Following an excellent response to the immune-chemotherapy treatment plan, all ocular adnexal lymphoma manifestations disappeared completely; however, 13 months after the initial presentation, there was a recurrence of the disease with rapid worsening and death. The blastoid variant of mantle cell lymphoma, a rare subtype of mantle-cell lymphoma, is a highly aggressive neoplasm, ultimately having a fatal outcome. As the initial manifestation of the disease, ocular adnexal region blastoid variant of mantle-cell lymphoma is an exceptional event, with only one previous case reported.