误诊为结膜炎的结膜MALT淋巴瘤一例
摘要
<正>男性,36岁。发现左眼结膜肿物伴异物感8个月。患者于8个月前无明显诱因出现左眼结膜肿物,伴异物感、眼红、眼痒,无视力下降、复视,就诊于其他医院眼科,诊断为过敏性结膜炎,给予盐酸氮卓斯汀滴眼液、妥布霉素地塞米松滴眼液治疗,患者眼红、眼痒症状缓解,但肿物逐渐扩大,累及整个下睑结膜和外侧下穹窿结膜,遂于我科就诊。既往身体健康,无外伤及家族病史。全身体格检查正常,眼科检查:右眼视力:1.0,左眼视力:1.0,双眼眼压正常,双眼运动正常,眼球无突出。左眼下睑结膜可见结膜弥漫性增生组织,累及整个下睑结膜,肿物呈"滤泡样"改变(图1A),左眼颞侧下穹窿结膜可见扁平状肿物,呈"鲑鱼肉样"改变(图1B),质地软、
引文
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[7] Decaudin D, Dendale R, Lumbroso-Le Rouic L. Treatment of mucosa-associated lymphoid tissue-type ocular adnexal lymphoma.Anticancer Drugs, 2008,19(7):673-680.
[8] Stannard C, Sauerwein W, Maree G, et al. Radiotherapy for ocular tumours. Eye(Lond), 2013, 27(2):119-127.
[9] Ma WL, Yao M, Liao SL, et al.Chemotherapy alone is an alternative treatment in treating localized primary ocular adnexal lymphomas.Oncotarget, 2017, 8(46):81329-81342.
[2] Moslehi R, Devesa SS, Schairer C, et al. Rapidly increasing incidince of ocular non-Hodgkin lymphoma. J Natl Cancer Inst, 2006, 98(13):936-939.
[3] Isaacson P,Wright DH. Malignant lymphoma of mucosa-associated lymphoid tissue. A distinctive type of B-cell lymphoma. Cancer,1983, 52(8):1410-1416.
[4] Du MQ, Isaacson PG.Gastric MALT lymphoma:from aetiology treatment. Lancet Oncol, 2002, 3(2):97-104.
[5] Shields CL, Shields JA, Carvalho C, et al. Conjunctival lymphoid tumors:clinical analysis of 117 cases and relationship to systemic lymphoma. Ophthalmology, 2001, 108(5):979-984.
[6] Hata M, Miyamoto K, Ogino K, et al. Conjunctival extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue in the fornix:do not overlook conjunctival lymphomas. Clin Ophthalmol, 2013, 7:663-666.
[7] Decaudin D, Dendale R, Lumbroso-Le Rouic L. Treatment of mucosa-associated lymphoid tissue-type ocular adnexal lymphoma.Anticancer Drugs, 2008,19(7):673-680.
[8] Stannard C, Sauerwein W, Maree G, et al. Radiotherapy for ocular tumours. Eye(Lond), 2013, 27(2):119-127.
[9] Ma WL, Yao M, Liao SL, et al.Chemotherapy alone is an alternative treatment in treating localized primary ocular adnexal lymphomas.Oncotarget, 2017, 8(46):81329-81342.