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Rare Orbital Involvement Originating from Extranodal Marginal Zone Lymphoma
Yao-Chang Wen1, Tzu-Chuan Huang2, Wen-Chiuan Tsai3
1Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, Taiwan.
Medicina (Kaunas, Lithuania)
|May 25, 2024
Summary
Extranodal marginal zone lymphoma (EMZL) of the ocular adnexa region (OAR) is rare. A 66-year-old female patient achieved complete remission with R-CVP chemotherapy, avoiding radiotherapy side effects.
Area of Science:
- Hematology
- Oncology
- Ophthalmology
Background:
- Primary lymphomas of the ocular adnexa region (OAR) are uncommon, representing a small fraction of non-Hodgkin lymphomas and extranodal lymphomas.
- Extranodal marginal zone lymphoma (EMZL) can arise in various epithelial tissues, including the OAR.
Observation:
- A case report details a 66-year-old female diagnosed with EMZL of the OAR.
- The patient received six cycles of rituximab, cyclophosphamide, vincristine, and prednisone (R-CVP) chemotherapy.
- Radiotherapy was avoided due to concerns about potential ocular side effects.
Findings:
- The patient achieved and maintained complete remission following R-CVP chemotherapy.
- This treatment approach effectively managed the EMZL of the OAR.
Implications:
- Targeted chemotherapy with R-CVP offers a viable alternative to radiotherapy for OAR EMZL.
- This strategy may help mitigate treatment-related ocular complications, preserving visual function.
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