A Case of Orbital MALT Lymphoma in a Patient with Rheumatoid Arthritis.
10.3341/jkos.2015.56.5.780
- Author:
Chan Joo AHN
1
;
Nam Ju KIM
Author Information
1. Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. resourceful@hanmail.net
- Publication Type:Case Report
- Keywords:
Autoimmune disease;
Eyelid swelling;
MALT lymphoma;
Rheumatoid arthritis
- MeSH:
Aged;
Arthritis, Rheumatoid*;
Autoimmune Diseases;
Biopsy;
Diagnosis, Differential;
Eyelids;
Follow-Up Studies;
Humans;
Lacrimal Apparatus;
Lymphoid Tissue;
Lymphoma;
Lymphoma, B-Cell, Marginal Zone*;
Male;
Neoplasm Metastasis;
Orbit*;
Positron-Emission Tomography
- From:Journal of the Korean Ophthalmological Society
2015;56(5):780-783
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of orbital mucosa-associated lymphoid tissue (MALT) lymphoma that occurred in a patient with rheumatoid arthritis (RA). CASE SUMMARY: A 70-year-old male with alleged RA presented with a 3-month history of spontaneous and painless upper and lower eyelid swelling in the right eye. On initial examination, palpable nodules were observed at the right upper and lower eyelids and orbital computed tomography (CT) revealed a contrast-enhancing nodule just inferior to the lacrimal gland, thus an incisional biopsy was performed. The pathological report showed malignant orbital lymphoma (low grade extranodal marginal zone B cell lymphoma of MALT). Since distant metastases were not detected on whole-body CT and positron emission tomography, the patient was advised to keep previous medication and regular follow-up examinations. CONCLUSIONS: The possibility of MALT lymphoma should be considered as a differential diagnosis in patients with eyelid swelling and autoimmune diseases such as RA.
