Mucosa-associated Lymphoid Tissue Lymphoma of the Lacrimal Gland - A Case Report

MALT lymphoma of the ocular adnexa, an indolent B-cell lymphoma, rarely affects the lacrimal gland. The case of a 73-year-old man with ptosis and edema of the left upper eyelid, due to lacrimal gland swelling, is presented. Clinical evaluation and imaging examination led to excision biopsy. The mass...

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Veröffentlicht in:In vivo (Athens) 2005-11, Vol.19 (6), p.1105-1109
Hauptverfasser: Asproudis, Ioannis, Gorezis, Spiridon, Charonis, Georgios C, Tolis, Christos, Tsanou, Elena, Elena, Tsanou, Agnantis, Niki J
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container_end_page 1109
container_issue 6
container_start_page 1105
container_title In vivo (Athens)
container_volume 19
creator Asproudis, Ioannis
Gorezis, Spiridon
Charonis, Georgios C
Tolis, Christos
Tsanou, Elena
Elena, Tsanou
Agnantis, Niki J
description MALT lymphoma of the ocular adnexa, an indolent B-cell lymphoma, rarely affects the lacrimal gland. The case of a 73-year-old man with ptosis and edema of the left upper eyelid, due to lacrimal gland swelling, is presented. Clinical evaluation and imaging examination led to excision biopsy. The mass histopathology, presenting organized lymphoid tissue, composed mainly of small B-cells, accompanied by immunophenotypic characteristics, was compatible with MALT lymphoma. Treatment with monoclonal antibody against CD-20 achieved a successful long-term disease control (4 years). The diagnostic approach is described and the pathological features and clinical signs of this rare entity are discussed, based on recent literature. The indolent clinical course of this lymphoma, either remaining localized or disseminating to other mucosal sites, is a distinct characteristic affecting prognosis.
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subjects Aged
Anti-Inflammatory Agents - therapeutic use
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Murine-Derived
Antigens, CD20 - metabolism
Biopsy
Follow-Up Studies
Humans
Immunohistochemistry
Lacrimal Apparatus - diagnostic imaging
Lacrimal Apparatus - pathology
Lacrimal Apparatus - surgery
Lymphoma, B-Cell, Marginal Zone - diagnosis
Lymphoma, B-Cell, Marginal Zone - diagnostic imaging
Lymphoma, B-Cell, Marginal Zone - pathology
Lymphoma, B-Cell, Marginal Zone - surgery
Male
Methylprednisolone - therapeutic use
Rituximab
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
title Mucosa-associated Lymphoid Tissue Lymphoma of the Lacrimal Gland - A Case Report
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