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Primary follicular lymphoma of the conjunctiva in a 6-year-old child

Majida Gaffar1, Nuthida Thebpatiphat, Ronald Przygodzki

  • 1North Shore-Long Island Jewish Health System, Great Neck, New York 11021, USA. majidagaffar@gmail.com

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|November 25, 2010
PubMed

Insights

Follicular lymphoma is uncommon in the eye. This case study details a rare conjunctival tumor in a child, successfully treated with surgery and showing no recurrence after three years.

Area of Science:

  • Ophthalmology
  • Pediatric Oncology
  • Hematology

Background:

  • Follicular lymphoma (FL) is a common non-Hodgkin lymphoma, typically originating in lymphoid tissues like lymph nodes or spleen.
  • Extranodal involvement of follicular lymphoma is less common, and ocular adnexal presentations are particularly rare, especially in pediatric cases.

Observation:

  • A 6-year-old boy presented with a small (3-mm) mass on the conjunctiva.
  • The conjunctival mass was surgically excised, achieving clear margins.

Findings:

  • Histopathological examination confirmed the diagnosis of follicular lymphoma involving the conjunctiva.
  • Post-operative monitoring for three years revealed no signs of tumor recurrence or metastasis.

Implications:

  • This case highlights the possibility of rare extranodal follicular lymphoma in the ocular adnexa of children.
  • Early surgical intervention with complete resection can lead to favorable outcomes in pediatric conjunctival follicular lymphoma.
  • Further research into the specific characteristics and management of pediatric ocular adnexal lymphomas is warranted.

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