Di Nisio L A, Croxatto J O, Mansur M C, Aldecoa J P, Weil D
Servicio de Oftalmología, Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Buenos Aires, Argentina.
Servicio de Patología Oftalmológica, Fundación Oftalmológica Argentina Jorge Malbrán, Buenos Aires, Argentina.
Arch Soc Esp Oftalmol. 2017 Apr;92(4):181-183. doi: 10.1016/j.oftal.2016.09.003. Epub 2016 Oct 25.
A male patient with an exposure keratopathy caused by lagophthalmos. A gold weight was implanted in the right upper eyelid. Eight months later, he presented with erythema and swelling of right upper eyelid. An incisional biopsy was performed, reporting extranodal marginal zone B cell lymphoma.
when a tumour at the site of a gold weight implant is refractory to treatment, it is essential to perform an incisional biopsy to establish the histopathological diagnosis. Ocular adnexal lymphomas are relatively common. The presence of foreign material can cause chronic inflammation that could be the stimulus for the development of a lymphoproliferative disorder.
一名因睑裂闭合不全导致暴露性角膜病变的男性患者。在右上眼睑植入了一枚金片。八个月后,他出现右上眼睑红斑和肿胀。进行了切开活检,报告为结外边缘区B细胞淋巴瘤。
当金片植入部位的肿瘤治疗效果不佳时,进行切开活检以确立组织病理学诊断至关重要。眼附属器淋巴瘤相对常见。异物的存在可引起慢性炎症,这可能是淋巴增殖性疾病发生的刺激因素。