Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma

Purpose: To describe the case of a patient affected by orbital lymphoma mimicking pleomorphic adenoma of the lacrimal gland. Methods: This was a retrospective case report. Results: We present the case of a patient with 15-year history of slowly progressive left proptosis and inferomedial bulbar disl...

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Main Authors: Diego Strianese, Andrea Elefante, Francesco Matarazzo, Angela Panico, Mariantonia Ferrara, Fausto Tranfa
Format: Article
Language:English
Published: Karger Publishers 2013-09-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:http://www.karger.com/Article/FullText/354963
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author Diego Strianese
Andrea Elefante
Francesco Matarazzo
Angela Panico
Mariantonia Ferrara
Fausto Tranfa
author_facet Diego Strianese
Andrea Elefante
Francesco Matarazzo
Angela Panico
Mariantonia Ferrara
Fausto Tranfa
author_sort Diego Strianese
collection DOAJ
description Purpose: To describe the case of a patient affected by orbital lymphoma mimicking pleomorphic adenoma of the lacrimal gland. Methods: This was a retrospective case report. Results: We present the case of a patient with 15-year history of slowly progressive left proptosis and inferomedial bulbar dislocation who had the presumptive diagnosis of lacrimal gland pleomorphic adenoma based on clinical and radiological features. The patient underwent lateral orbitotomy and lacrimal gland excision. Postoperative histological features were consistent with low-grade B-cell non-Hodgkin lymphoma. Conclusion: The accepted clinico-radiological criteria used for the diagnosis of lacrimal gland fossa lesions might have a certain false-positive rate, even in recent years. The initial surgical approach with the appropriate choice between fine-needle aspiration biopsies, intraoperative biopsies and lacrimal gland excisions might be a challenge.
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spelling doaj.art-2f6af6a96107478eb500b918a7a4de3a2022-12-21T18:33:38ZengKarger PublishersCase Reports in Ophthalmology1663-26992013-09-014310911310.1159/000354963354963Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic AdenomaDiego StrianeseAndrea ElefanteFrancesco MatarazzoAngela PanicoMariantonia FerraraFausto TranfaPurpose: To describe the case of a patient affected by orbital lymphoma mimicking pleomorphic adenoma of the lacrimal gland. Methods: This was a retrospective case report. Results: We present the case of a patient with 15-year history of slowly progressive left proptosis and inferomedial bulbar dislocation who had the presumptive diagnosis of lacrimal gland pleomorphic adenoma based on clinical and radiological features. The patient underwent lateral orbitotomy and lacrimal gland excision. Postoperative histological features were consistent with low-grade B-cell non-Hodgkin lymphoma. Conclusion: The accepted clinico-radiological criteria used for the diagnosis of lacrimal gland fossa lesions might have a certain false-positive rate, even in recent years. The initial surgical approach with the appropriate choice between fine-needle aspiration biopsies, intraoperative biopsies and lacrimal gland excisions might be a challenge.http://www.karger.com/Article/FullText/354963Orbital lymphomaPleomorphic adenomaLacrimal gland
spellingShingle Diego Strianese
Andrea Elefante
Francesco Matarazzo
Angela Panico
Mariantonia Ferrara
Fausto Tranfa
Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma
Case Reports in Ophthalmology
Orbital lymphoma
Pleomorphic adenoma
Lacrimal gland
title Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma
title_full Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma
title_fullStr Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma
title_full_unstemmed Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma
title_short Orbital Lymphoma Mimicking Lacrimal Gland Pleomorphic Adenoma
title_sort orbital lymphoma mimicking lacrimal gland pleomorphic adenoma
topic Orbital lymphoma
Pleomorphic adenoma
Lacrimal gland
url http://www.karger.com/Article/FullText/354963
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AT angelapanico orbitallymphomamimickinglacrimalglandpleomorphicadenoma
AT mariantoniaferrara orbitallymphomamimickinglacrimalglandpleomorphicadenoma
AT faustotranfa orbitallymphomamimickinglacrimalglandpleomorphicadenoma