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Case Reports
. 2011 Jan;6(1):47-50.

Non-Hodgkin's Lymphoma Presenting as a Huge Ocular Adnexal and Forehead Mass

Afekhide Ernest Omoti  1 , Caroline Edijana Omoti, Osesogie Usualele Ogbeide
Affiliations
Case Reports

Non-Hodgkin's Lymphoma Presenting as a Huge Ocular Adnexal and Forehead Mass

Afekhide Ernest Omoti et al. J Ophthalmic Vis Res. 2011 Jan.

Abstract

Purpose: To report a case of non-Hodgkin's lymphoma (NHL) presenting as an ocular adnexal and forehead mass.

Case report: An elderly male patient was referred by a neurosurgeon to the eye clinic with a six-month history of a massive tumor measuring 12×16×8 cm involving the right side of the forehead, eyebrow and upper eyelid. Neurological examination had been normal and computed tomography revealed no intracranial extension. The patient was referred to an otorhinolaryngologist who performed an incisional biopsy which revealed the mass to be NHL. He received chemotherapy with CHOP regimen (cyclophosphamide, adriamycin, vincristine and prednisolone) resulting in reduction in lesion size leaving a phthysical eyeball and a ptotic lid.

Conclusion: Non-Hodgkin's lymphoma may occur in almost any part of the body and should be considered in the differential diagnosis of extralymphoid tumors.

Keywords: Forehead Mass; Lid Mass; Non-Hodgkin’s Lymphoma.

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Figures

Figure 1
Figure 1
Cranial CT scan of the patient with right sided forehead and ocular adnexal mass showing normal ocular dimensions without any intracranial connection.
Figure 2
Figure 2
The patient with massive right sided forehead and ocular adnexal mass after incisional biopsy.
Figure 3
Figure 3
Histologic section shows small lymphocytes with mildly pleomorphic vesicular nuclei, arranged diffusely.
Figure 4
Figure 4
The same patient after the second course of chemotherapy; considerable reduction occurred in the size of the adnexal mass.
See this image and copyright information in PMC

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