Malignant lymphoma presenting as unilateral eyelid mass

A 58 year-old man presented with a large mass in the upper eyelid of his only eye. He had no systemic symptoms, but his physical examination revealed slightly enlarged preauricular and axillary lymph nodes. Biopsies of the upper eyelid mass and the ipsilateral preauricular lymph node revealed a poorly differentiated lymphocytic lymphoma. This case is of ophthalmic interest because the eyelid mass was the initial manifestation of the lymphoma.