Ptosis as an Initial Manifestation of Orbital Lymphoma: A Case Report

Autor: Min-Wen Hsu, Chia-Hung Chung, Cheng-Hsien Chang, Pei-Shin Hu, Shiuh-Liang Hsu
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Zdroj: Kaohsiung Journal of Medical Sciences, Vol 22, Iss 4, Pp 194-198 (2006)
Druh dokumentu: article
ISSN: 1607-551X
DOI: 10.1016/S1607-551X(09)70307-9
Popis: Ptosis on its own is an infrequent initial manifestation of orbital lymphoma. Orbital lymphoma usually presents as a palpable mass with proptosis, diplopia, and conjunctival (“salmon-pink”) swelling. We report here a 62-year-old female patient who presented with right eye ptosis. The initial imaging study showed an indistinct enlargement of the superior rectus-levator muscle complex. After 3-4 months, ptosis and upward gazing movement were further restricted. The imaging study revealed a definite soft-tissue mass in the superior orbit surrounding the superior rectus-levator muscle complex. A tumor biopsy through anterior orbitotomy revealed a large diffuse B-cell lymphoma. With the experience of this case, we suggest that orbital lymphoma should be included in the differential diagnosis of ptosis accompanied by impairment of levator muscle function.
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