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[Malignant non-Hodgkin diffuse lymphoma with extranodal orbital involvement--a clinical case]
Corina Epure1, Laura Ionascu, Narcisa Hagima
1Clinica de Oftalmologie a Spitalului Militar Central.
Oftalmologia (Bucharest, Romania : 1990)
|March 10, 2006
Summary
A 63-year-old patient initially suspected of preseptal cellulitis was diagnosed with non-Hodgkin lymphoma. This diffuse B-cell lymphoma involved the orbit, necessitating systemic chemotherapy for treatment.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Orbital involvement in lymphoma is rare but can mimic common orbital infections.
- Early and accurate diagnosis is crucial for effective management of orbital masses.
Observation:
- A 63-year-old patient presented with symptoms suggestive of preseptal cellulitis.
- Extensive investigations revealed a definitive diagnosis of non-Hodgkin lymphoma, diffuse B-cell type.
- The lymphoma showed extranodal orbital involvement.
Findings:
- The patient's condition evolved beyond initial suspicion of preseptal cellulitis.
- Diagnostic workup confirmed non-Hodgkin lymphoma with orbital extension.
- Extranodal involvement of the orbit by diffuse B-cell lymphoma was identified.
Implications:
- Systemic chemotherapy is the recommended treatment for this specific type of orbital lymphoma.
- This case highlights the importance of considering uncommon diagnoses in orbital presentations.
- Accurate diagnosis guides appropriate and effective therapeutic strategies in complex orbital diseases.
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