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VOLUME 41 , ISSUE 2ENG ( Apr-2013, 2013 ) > List of Articles

REVIEW ARTICLE

Stage IVE Non-Hodgkin Lymphoma Presenting Solely as Swelling of the Lids and Conjunctiva

A. Ibraheim, M. Dogramaci

Citation Information : Ibraheim A, Dogramaci M. Stage IVE Non-Hodgkin Lymphoma Presenting Solely as Swelling of the Lids and Conjunctiva. 2013; 41 (2ENG):6-7.

DOI: 10.5005/hoo-10101-41202

Published Online: 01-10-2020

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

PURPOSE: To describe unusual case of aggressive stage IVE1 non- Hodgkin lymphoma involving extensively the sinonasal tract but presenting for the first time with acute swelling of the lids and conjunctiva with vertical diplopia without any other systemic signs and symptoms. DESIGN: Observational case report. METHOD: 78 years old male was referred with 10 days duration of swollen lids conjunctiva, watering right eye and vertical diplopia. RESULTS: The patient was found to have high grade Large B cells non-Hodgkin's lymphoma involving the maxillary, frontal, ethmoidal sinuses, erosion of the bony nasal septum, erosion of the orbital floor and extension into the orbit, large right and left axillary lymph nodes, and enlarged right mediastinal lymph nodes. CONCLUSION: Although rare but it is possible for the eye surgeon to be the first to diagnose many life threatening disease that starts somewhere in the body and just present solely as eye problem. An example of which is this reported case of extensive lymphoma. The patient has responded very well to urgent chemotherapy treatment and now is asymptomatic, with 100% recovery of the eye signs and symptoms as well as inducing remission of the whole disease process.


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