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Swelling of the lower eyelid as the initial manifestation of primary T cell malignant lymphoma of the lacrimal sac Megumi Tamura 1 , Hideki Tsuji 1 , Shinetsu Kamata 2 , Hiroki Mitani 2 , Noriko Yamamoto 3 , Masahiko Oguchi 4 1Dept of Ophthalmol,Cancer Inst Hosp 2Dept of Head and Neck Surgery,Cancer Inst Hosp 3Dept of Pathology,Cancer Inst Hosp 4Dept of Radiation Oncology,Cancer Inst Hosp pp.1061-1066
Published Date 2003/6/15
DOI https://doi.org/10.11477/mf.1410101300
  • Abstract
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Abstract. A 54-year-old woman was referred with 1-month history of swelling of left lower lid. Palpation showed a hard elastic tumor around the left lacrimal lesion. Dacryocystography revealed the lacrimal sac dislocated laterally by a tumor. Biopsy led to the diagnosis of diffuse medium-sized malignant lymphoma. Immunochemistry showed the lymphoma to be T cell type,peripheral T-cell lymphomas unspecified. No systemic metastasis was detected. The patient was classified as StageIE according to the Ann Arbor staging system. She was successfully treated with radiation therapy(39.6 Gy)and chemotherapy(3 cycles of CHOP). For 16month after biopsy,she has been free from recurrence and metastasis. This is the first reported case of primary T cell malignant lymphoma of the lacrimal sac.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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