Cutaneous T-cell lymphoma presenting as a rapidly enlarging ocular adnexal tumor.
Journal Article (Journal Article)
A 63-year-old man, in good health previously, developed swelling and erythema of the right upper eyelid which progressed to involve both eyelids and surrounding tissues. After one month, he had a 9.0 x 9.0 x 3.5 cm mass despite two attempts at incisional drainage and treatment with antibiotics. Multiple asymptomatic erythematosus nodules (2-3 cm in diameter) developed on his back, trunk, and arms four weeks after onset of the eyelid erythema and swelling. Biopsies of two upper back papules and the eyelid disclosed cutaneous T-cell lymphoma, a lymphoproliferative malignancy of thymus derived lymphocytes originating in the skin. Systemic chemotherapy resulted in a marked decrease in the ocular adnexal mass but lymphomatous meningitis and quadriplegia developed. The patient died four months later; an autopsy was not performed. This case demonstrates that cutaneous T-cell lymphoma may rarely have its initial manifestation as a rapidly enlarging eyelid tumor.
Full Text
Duke Authors
Cited Authors
- Meekins, B; Proia, AD; Klintworth, GK
Published Date
- September 1985
Published In
Volume / Issue
- 92 / 9
Start / End Page
- 1288 - 1293
PubMed ID
- 3877264
International Standard Serial Number (ISSN)
- 0161-6420
Digital Object Identifier (DOI)
- 10.1016/s0161-6420(85)33885-x
Language
- eng
Conference Location
- United States