Primary lymphoma of the lacrimal sac: an EORTC ophthalmic oncology task force study

Aim: To define the clinical and histopathological characteristics of primary lacrimal sac lymphoma in a predominantly white population. Methods: Specimens of lacrimal sac lymphoma and follow up data were solicited from members of the Ophthalmic Oncology Task Force of the European Organization for Re...

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Veröffentlicht in:British journal of ophthalmology 2006-08, Vol.90 (8), p.1004-1009
Hauptverfasser: Sjö, L D, Ralfkiaer, E, Juhl, B R, Prause, J U, Kivelä, T, Auw-Haedrich, C, Bacin, F, Carrera, M, Coupland, S E, Delbosc, B, Ducrey, N, Kantelip, B, Kemeny, J L, Meyer, P, Sjö, N C, Heegaard, S
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container_end_page 1009
container_issue 8
container_start_page 1004
container_title British journal of ophthalmology
container_volume 90
creator Sjö, L D
Ralfkiaer, E
Juhl, B R
Prause, J U
Kivelä, T
Auw-Haedrich, C
Bacin, F
Carrera, M
Coupland, S E
Delbosc, B
Ducrey, N
Kantelip, B
Kemeny, J L
Meyer, P
Sjö, N C
Heegaard, S
description Aim: To define the clinical and histopathological characteristics of primary lacrimal sac lymphoma in a predominantly white population. Methods: Specimens of lacrimal sac lymphoma and follow up data were solicited from members of the Ophthalmic Oncology Task Force of the European Organization for Research and Treatment of Cancer (EORTC) and the European Ophthalmic Pathology Society (EOPS). Specimens were stained with haematoxylin and eosin and an immunohistochemical panel against leucocyte antigens was applied. Diagnosis was reached by consensus of five experienced pathologists according to the World Health Organization classification system. The histopathological findings were correlated with the clinical data. Results: Of 15 primary lacrimal sac lymphomas, five (33%) were diffuse large B cell lymphoma (DLBCL), five (33%) were extranodal marginal zone B cell lymphoma of mucosa associated lymphoid tissue (MALT lymphoma), three were classified as “transitional MALT lymphoma,” being in transition from MALT lymphoma to DLBCL, and two were unclassified B cell lymphomas. Nine of the patients were female, and the median age at the time of diagnosis was 71 years (range 45–95 years). The most frequent presenting symptoms were epiphora (85%), swelling in the region of the lacrimal sac (79%), and dacryocystitis (21%). All but one patient presented in stage I. Systemic spread occurred in three of nine patients (33%). The 5 year overall survival was 65%. Conclusions: DLBCL and MALT lymphoma are equally common in the lacrimal sac in contrast with the remaining periorbital and/or orbital region where MALT lymphoma predominates.
doi_str_mv 10.1136/bjo.2006.090589
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Methods: Specimens of lacrimal sac lymphoma and follow up data were solicited from members of the Ophthalmic Oncology Task Force of the European Organization for Research and Treatment of Cancer (EORTC) and the European Ophthalmic Pathology Society (EOPS). Specimens were stained with haematoxylin and eosin and an immunohistochemical panel against leucocyte antigens was applied. Diagnosis was reached by consensus of five experienced pathologists according to the World Health Organization classification system. The histopathological findings were correlated with the clinical data. Results: Of 15 primary lacrimal sac lymphomas, five (33%) were diffuse large B cell lymphoma (DLBCL), five (33%) were extranodal marginal zone B cell lymphoma of mucosa associated lymphoid tissue (MALT lymphoma), three were classified as “transitional MALT lymphoma,” being in transition from MALT lymphoma to DLBCL, and two were unclassified B cell lymphomas. Nine of the patients were female, and the median age at the time of diagnosis was 71 years (range 45–95 years). The most frequent presenting symptoms were epiphora (85%), swelling in the region of the lacrimal sac (79%), and dacryocystitis (21%). All but one patient presented in stage I. Systemic spread occurred in three of nine patients (33%). The 5 year overall survival was 65%. Conclusions: DLBCL and MALT lymphoma are equally common in the lacrimal sac in contrast with the remaining periorbital and/or orbital region where MALT lymphoma predominates.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.2006.090589</identifier><identifier>PMID: 16672329</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Age ; Aged ; Aged, 80 and over ; Antigens, CD ; Antigens, CD - metabolism ; Antigens, Neoplasm ; Antigens, Neoplasm - metabolism ; Biological and medical sciences ; Chemotherapy ; CHOP ; Classification ; Clinical Science - Extended Report ; complete remission ; cyclophosphamide + hydroxydoxorubicine + oncovine + prednisone ; diffuse large B cell lymphoma ; DLBCL ; EOPS ; EORTC ; European Ophthalmic Pathology Society ; European Organization for Research and Treatment of Cancer ; Female ; Hematologic and hematopoietic diseases ; Humans ; Immunology ; Lacrimal Apparatus Diseases ; Lacrimal Apparatus Diseases - diagnosis ; Lacrimal Apparatus Diseases - pathology ; Lacrimal Apparatus Diseases - therapy ; lacrimal sac ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Life Sciences ; Lymphoma ; Lymphoma, B-Cell ; Lymphoma, B-Cell - diagnosis ; Lymphoma, B-Cell - pathology ; Lymphoma, B-Cell - therapy ; Lymphoma, B-Cell, Marginal Zone ; Lymphoma, B-Cell, Marginal Zone - diagnosis ; Lymphoma, B-Cell, Marginal Zone - pathology ; Lymphoma, B-Cell, Marginal Zone - therapy ; Lymphoma, Large B-Cell, Diffuse ; Lymphoma, Large B-Cell, Diffuse - diagnosis ; Lymphoma, Large B-Cell, Diffuse - pathology ; Lymphoma, Large B-Cell, Diffuse - therapy ; Male ; MALT ; MALT lymphoma ; Medical prognosis ; Medical sciences ; Middle Aged ; Miscellaneous ; mucosa associated lymphoid tissue ; ocular lymphoma ; Ophthalmology ; Patients ; Radiation therapy ; REAL ; Retrospective Studies ; Revised European-American Classification of Lymphoid Neoplasms ; Studies ; Surgery ; Task forces ; Tumors</subject><ispartof>British journal of ophthalmology, 2006-08, Vol.90 (8), p.1004-1009</ispartof><rights>Copyright 2006 British Journal of Ophthalmology</rights><rights>2006 INIST-CNRS</rights><rights>Copyright: 2006 Copyright 2006 British Journal of Ophthalmology</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>Copyright © 2006 BMJ Publishing Group</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b590t-dbcd39ef6c8a40fb9bd8a4d61614739fe041dd5b2942f549529d7912272e9d903</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjo.bmj.com/content/90/8/1004.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjo.bmj.com/content/90/8/1004.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3183,23550,27901,27902,53766,53768,77343,77374</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17960841$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16672329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-00473444$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Sjö, L D</creatorcontrib><creatorcontrib>Ralfkiaer, E</creatorcontrib><creatorcontrib>Juhl, B R</creatorcontrib><creatorcontrib>Prause, J U</creatorcontrib><creatorcontrib>Kivelä, T</creatorcontrib><creatorcontrib>Auw-Haedrich, C</creatorcontrib><creatorcontrib>Bacin, F</creatorcontrib><creatorcontrib>Carrera, M</creatorcontrib><creatorcontrib>Coupland, S E</creatorcontrib><creatorcontrib>Delbosc, B</creatorcontrib><creatorcontrib>Ducrey, N</creatorcontrib><creatorcontrib>Kantelip, B</creatorcontrib><creatorcontrib>Kemeny, J L</creatorcontrib><creatorcontrib>Meyer, P</creatorcontrib><creatorcontrib>Sjö, N C</creatorcontrib><creatorcontrib>Heegaard, S</creatorcontrib><creatorcontrib>European Organization for Research and Treatment of Cancer</creatorcontrib><title>Primary lymphoma of the lacrimal sac: an EORTC ophthalmic oncology task force study</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>Aim: To define the clinical and histopathological characteristics of primary lacrimal sac lymphoma in a predominantly white population. Methods: Specimens of lacrimal sac lymphoma and follow up data were solicited from members of the Ophthalmic Oncology Task Force of the European Organization for Research and Treatment of Cancer (EORTC) and the European Ophthalmic Pathology Society (EOPS). Specimens were stained with haematoxylin and eosin and an immunohistochemical panel against leucocyte antigens was applied. Diagnosis was reached by consensus of five experienced pathologists according to the World Health Organization classification system. The histopathological findings were correlated with the clinical data. Results: Of 15 primary lacrimal sac lymphomas, five (33%) were diffuse large B cell lymphoma (DLBCL), five (33%) were extranodal marginal zone B cell lymphoma of mucosa associated lymphoid tissue (MALT lymphoma), three were classified as “transitional MALT lymphoma,” being in transition from MALT lymphoma to DLBCL, and two were unclassified B cell lymphomas. Nine of the patients were female, and the median age at the time of diagnosis was 71 years (range 45–95 years). The most frequent presenting symptoms were epiphora (85%), swelling in the region of the lacrimal sac (79%), and dacryocystitis (21%). All but one patient presented in stage I. Systemic spread occurred in three of nine patients (33%). The 5 year overall survival was 65%. Conclusions: DLBCL and MALT lymphoma are equally common in the lacrimal sac in contrast with the remaining periorbital and/or orbital region where MALT lymphoma predominates.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antigens, CD</subject><subject>Antigens, CD - metabolism</subject><subject>Antigens, Neoplasm</subject><subject>Antigens, Neoplasm - metabolism</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>CHOP</subject><subject>Classification</subject><subject>Clinical Science - Extended Report</subject><subject>complete remission</subject><subject>cyclophosphamide + hydroxydoxorubicine + oncovine + prednisone</subject><subject>diffuse large B cell lymphoma</subject><subject>DLBCL</subject><subject>EOPS</subject><subject>EORTC</subject><subject>European Ophthalmic Pathology Society</subject><subject>European Organization for Research and Treatment of Cancer</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Immunology</subject><subject>Lacrimal Apparatus Diseases</subject><subject>Lacrimal Apparatus Diseases - diagnosis</subject><subject>Lacrimal Apparatus Diseases - pathology</subject><subject>Lacrimal Apparatus Diseases - therapy</subject><subject>lacrimal sac</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Life Sciences</subject><subject>Lymphoma</subject><subject>Lymphoma, B-Cell</subject><subject>Lymphoma, B-Cell - diagnosis</subject><subject>Lymphoma, B-Cell - pathology</subject><subject>Lymphoma, B-Cell - therapy</subject><subject>Lymphoma, B-Cell, Marginal Zone</subject><subject>Lymphoma, B-Cell, Marginal Zone - diagnosis</subject><subject>Lymphoma, B-Cell, Marginal Zone - pathology</subject><subject>Lymphoma, B-Cell, Marginal Zone - therapy</subject><subject>Lymphoma, Large B-Cell, Diffuse</subject><subject>Lymphoma, Large B-Cell, Diffuse - diagnosis</subject><subject>Lymphoma, Large B-Cell, Diffuse - pathology</subject><subject>Lymphoma, Large B-Cell, Diffuse - therapy</subject><subject>Male</subject><subject>MALT</subject><subject>MALT lymphoma</subject><subject>Medical prognosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>mucosa associated lymphoid tissue</subject><subject>ocular lymphoma</subject><subject>Ophthalmology</subject><subject>Patients</subject><subject>Radiation therapy</subject><subject>REAL</subject><subject>Retrospective Studies</subject><subject>Revised European-American Classification of Lymphoid Neoplasms</subject><subject>Studies</subject><subject>Surgery</subject><subject>Task forces</subject><subject>Tumors</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFksFv0zAUxi0EYt3gzA1ZQnCYSGc7jh3vgDRVG0Mq2wSjBy6WYztLOicudjrR_x6XVBvsspNtvd9773vPHwBvMJpinLOjaumnBCE2RQIVpXgGJpiyMiOIi-dgghDiGcYM74H9GJfpSRjmL8EeZoyTnIgJ-H4V2k6FDXSbbtX4TkFfw6Gx0Cm9jTgYlT6Gqoenl9-uZ9CvmqFRrms19L32zt9s4KDiLax90BbGYW02r8CLWrloX-_OA_Dj7PR6dp7NLz9_mZ3Ms6oQaMhMpU0ubM10qSiqK1GZdDEs6aU8F7VFFBtTVERQUhdUFEQYLjAhnFhhBMoPwKex7mpdddZo2w9BObkaJ5JetfL_SN828sbfSVwWHP8t8HEs0DxKOz-Zy7aPNnQSoSSGUnqHE_5h1y_4X2sbB9m1UVvnVG_9OkpWsiLpzJ8EsRBp_6xM4LtH4NKvQ5-WJjHnpSCUFCxRRyOlg48x2PpeK0ZyawOZbCC3NpCjDVLG238388Dv_j0B73eAilq5Oqhet_GB44Khkm5HzkaujYP9fR9X4VYynvNCXixmkizmF4uvP6_kWeIPR77qlk-q_ANfu9ZY</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Sjö, L D</creator><creator>Ralfkiaer, E</creator><creator>Juhl, B R</creator><creator>Prause, J U</creator><creator>Kivelä, T</creator><creator>Auw-Haedrich, C</creator><creator>Bacin, F</creator><creator>Carrera, M</creator><creator>Coupland, S E</creator><creator>Delbosc, B</creator><creator>Ducrey, N</creator><creator>Kantelip, B</creator><creator>Kemeny, J L</creator><creator>Meyer, P</creator><creator>Sjö, N C</creator><creator>Heegaard, S</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><scope>1XC</scope><scope>5PM</scope></search><sort><creationdate>20060801</creationdate><title>Primary lymphoma of the lacrimal sac: an EORTC ophthalmic oncology task force study</title><author>Sjö, L D ; Ralfkiaer, E ; Juhl, B R ; Prause, J U ; Kivelä, T ; Auw-Haedrich, C ; Bacin, F ; Carrera, M ; Coupland, S E ; Delbosc, B ; Ducrey, N ; Kantelip, B ; Kemeny, J L ; Meyer, P ; Sjö, N C ; Heegaard, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b590t-dbcd39ef6c8a40fb9bd8a4d61614739fe041dd5b2942f549529d7912272e9d903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antigens, CD</topic><topic>Antigens, CD - metabolism</topic><topic>Antigens, Neoplasm</topic><topic>Antigens, Neoplasm - metabolism</topic><topic>Biological and medical sciences</topic><topic>Chemotherapy</topic><topic>CHOP</topic><topic>Classification</topic><topic>Clinical Science - Extended Report</topic><topic>complete remission</topic><topic>cyclophosphamide + hydroxydoxorubicine + oncovine + prednisone</topic><topic>diffuse large B cell lymphoma</topic><topic>DLBCL</topic><topic>EOPS</topic><topic>EORTC</topic><topic>European Ophthalmic Pathology Society</topic><topic>European Organization for Research and Treatment of Cancer</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Immunology</topic><topic>Lacrimal Apparatus Diseases</topic><topic>Lacrimal Apparatus Diseases - diagnosis</topic><topic>Lacrimal Apparatus Diseases - pathology</topic><topic>Lacrimal Apparatus Diseases - therapy</topic><topic>lacrimal sac</topic><topic>Leukemias. 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Methods: Specimens of lacrimal sac lymphoma and follow up data were solicited from members of the Ophthalmic Oncology Task Force of the European Organization for Research and Treatment of Cancer (EORTC) and the European Ophthalmic Pathology Society (EOPS). Specimens were stained with haematoxylin and eosin and an immunohistochemical panel against leucocyte antigens was applied. Diagnosis was reached by consensus of five experienced pathologists according to the World Health Organization classification system. The histopathological findings were correlated with the clinical data. Results: Of 15 primary lacrimal sac lymphomas, five (33%) were diffuse large B cell lymphoma (DLBCL), five (33%) were extranodal marginal zone B cell lymphoma of mucosa associated lymphoid tissue (MALT lymphoma), three were classified as “transitional MALT lymphoma,” being in transition from MALT lymphoma to DLBCL, and two were unclassified B cell lymphomas. Nine of the patients were female, and the median age at the time of diagnosis was 71 years (range 45–95 years). The most frequent presenting symptoms were epiphora (85%), swelling in the region of the lacrimal sac (79%), and dacryocystitis (21%). All but one patient presented in stage I. Systemic spread occurred in three of nine patients (33%). The 5 year overall survival was 65%. Conclusions: DLBCL and MALT lymphoma are equally common in the lacrimal sac in contrast with the remaining periorbital and/or orbital region where MALT lymphoma predominates.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>16672329</pmid><doi>10.1136/bjo.2006.090589</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Age
Aged
Aged, 80 and over
Antigens, CD
Antigens, CD - metabolism
Antigens, Neoplasm
Antigens, Neoplasm - metabolism
Biological and medical sciences
Chemotherapy
CHOP
Classification
Clinical Science - Extended Report
complete remission
cyclophosphamide + hydroxydoxorubicine + oncovine + prednisone
diffuse large B cell lymphoma
DLBCL
EOPS
EORTC
European Ophthalmic Pathology Society
European Organization for Research and Treatment of Cancer
Female
Hematologic and hematopoietic diseases
Humans
Immunology
Lacrimal Apparatus Diseases
Lacrimal Apparatus Diseases - diagnosis
Lacrimal Apparatus Diseases - pathology
Lacrimal Apparatus Diseases - therapy
lacrimal sac
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Life Sciences
Lymphoma
Lymphoma, B-Cell
Lymphoma, B-Cell - diagnosis
Lymphoma, B-Cell - pathology
Lymphoma, B-Cell - therapy
Lymphoma, B-Cell, Marginal Zone
Lymphoma, B-Cell, Marginal Zone - diagnosis
Lymphoma, B-Cell, Marginal Zone - pathology
Lymphoma, B-Cell, Marginal Zone - therapy
Lymphoma, Large B-Cell, Diffuse
Lymphoma, Large B-Cell, Diffuse - diagnosis
Lymphoma, Large B-Cell, Diffuse - pathology
Lymphoma, Large B-Cell, Diffuse - therapy
Male
MALT
MALT lymphoma
Medical prognosis
Medical sciences
Middle Aged
Miscellaneous
mucosa associated lymphoid tissue
ocular lymphoma
Ophthalmology
Patients
Radiation therapy
REAL
Retrospective Studies
Revised European-American Classification of Lymphoid Neoplasms
Studies
Surgery
Task forces
Tumors
title Primary lymphoma of the lacrimal sac: an EORTC ophthalmic oncology task force study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T15%3A36%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Primary%20lymphoma%20of%20the%20lacrimal%20sac:%20an%20EORTC%20ophthalmic%20oncology%20task%20force%20study&rft.jtitle=British%20journal%20of%20ophthalmology&rft.au=Sj%C3%B6,%20L%20D&rft.aucorp=European%20Organization%20for%20Research%20and%20Treatment%20of%20Cancer&rft.date=2006-08-01&rft.volume=90&rft.issue=8&rft.spage=1004&rft.epage=1009&rft.pages=1004-1009&rft.issn=0007-1161&rft.eissn=1468-2079&rft.coden=BJOPAL&rft_id=info:doi/10.1136/bjo.2006.090589&rft_dat=%3Cproquest_pubme%3E4012418311%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1778924256&rft_id=info:pmid/16672329&rfr_iscdi=true