Conjunctival mass as an initial presentation of mantle cell lymphoma: a case report

Mahsa Khanlari1, Babak Bagheri, Reza Vojdani

  • 1Institute of Hematopathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran.

BMC Research Notes
|December 6, 2012
PubMed

Insights

This study details a rare case of mantle cell lymphoma (MCL) affecting the conjunctiva. Accurate diagnosis requires specific immunohistochemistry and genetic testing to distinguish it from other lymphomas.

Area of Science:

  • Ophthalmology
  • Hematology
  • Oncology

Background:

  • Mantle cell lymphoma (MCL) is a rare B-cell neoplasm.
  • Ocular adnexal lymphomas are typically extranodal marginal zone B-cell lymphomas (MALT).
  • Ocular MCL is an uncommon presentation requiring specific diagnostic considerations.

Observation:

  • A 64-year-old male presented with a three-month history of a right conjunctival mass.
  • Histopathology revealed a subconjunctival proliferation of small-to-medium-sized lymphoid cells with cleaved nuclei.
  • Immunohistochemistry confirmed the lymphoid infiltrate as positive for CD20, CD5, BCL-2, cyclin D1, and SOX11.

Findings:

  • Fluorescent in situ hybridization identified the IGH-CCND1 fusion, indicative of the t(11;14) translocation.
  • The findings confirm a diagnosis of mantle cell lymphoma in the conjunctiva.
  • This presentation highlights a rare ocular manifestation of MCL.

Implications:

  • Accurate diagnosis of ocular adnexal lymphomas is crucial.
  • Immunohistochemical and genetic analysis are essential for identifying ocular MCL.
  • Distinguishing ocular MCL from more common lymphomas ensures appropriate patient management and staging.
Abstract

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