Orbital cellulitis or lymphoma? A diagnostic challenge

Aysha Salam1, Manual Saldana, Naeem Zaman

  • 1Southampton Eye Unit, Southampton General Hospital, UK. aysha_salam@yahoo.com

Insights

Aggressive natural killer T cell lymphoma can mimic other conditions, leading to diagnostic delays. Early recognition and thorough tissue sampling are crucial for timely treatment of this rare cancer.

Area of Science:

  • Oncology
  • Hematology
  • Pathology

Background:

  • Natural killer T cell lymphoma (NKTL) is a rare and aggressive hematologic malignancy.
  • NKTL can present with diverse clinical manifestations, sometimes mimicking infectious or inflammatory conditions.

Observation:

  • A police officer presented with symptoms suggestive of orbital cellulitis and mid-facial destruction.
  • The initial presentation overlapped with other diseases, complicating the diagnostic process.

Findings:

  • The case highlights the challenge of diagnosing aggressive NKTL due to overlapping clinical features.
  • Histopathological examination and adequate tissue sampling were critical for definitive diagnosis.

Implications:

  • Emphasizes the need for high clinical suspicion and comprehensive diagnostic workup for NKTL.
  • Timely and accurate diagnosis significantly impacts treatment strategies and patient outcomes for aggressive lymphomas.