[Intrabulbar and peribulbar reactive lymphoid hyperplasia]

Area of Science:

• Ophthalmology
• Oncology
• Pathology

Background:

• Orbital tumors can present diagnostic challenges, necessitating detailed histopathological analysis.
• Distinguishing between malignant and benign orbital masses is crucial for appropriate patient management.

Observation:

• A 69-year-old female presented with a choroidal and a large peribulbar tumor.
• Ultrasonography indicated a homogeneous peribulbar mass, suggestive of lymphoma, sarcoma, or pseudotumor.

Findings:

• Histological examination revealed reactive lymphoid hyperplasia.
• The absence of "Dutcher bodies" was noted.
• The findings were consistent with a benign lymphoma diagnosis.

Implications:

• This case highlights the importance of thorough histopathological evaluation in diagnosing orbital tumors.
• Accurate diagnosis of benign lymphoid hyperplasia prevents unnecessary aggressive treatment for potential malignancies.
• Understanding the imaging and histological features aids in differentiating benign from malignant orbital lesions.