Dirani Ali, Allaire Guy, Callejo Sonia, Belair Marie Lyne, Biernacki Katarzyna, Corriveau Christine, Hammamji Karim
Department of Ophthalmology, University of Montreal.
Department of Ophthalmology, University of Montreal Health Center (CHUM).
Int Med Case Rep J. 2017 May 4;10:153-158. doi: 10.2147/IMCRJ.S129171. eCollection 2017.
The case of an 89-year-old man who was referred for a painless decrease of vision in his right eye (RE) is reported. Fundus examination of the RE showed an elevated amelanotic lesion located in the posterior pole with an adjacent focal round pigmented lesion. There was also a more peripheral amelanotic lesion extending from 6 to 9 o'clock clockwise inferotemporally. Uveitis workup and imaging studies of brain and orbits were normal. A retinochoroidal biopsy was done and showed the presence of choroidal extranodal marginal zone lymphoma. The patient was treated with external beam radiotherapy. This report presents a review of the literature of all reported cases of choroidal extranodal marginal zone lymphoma.
报告了一例89岁男性患者，因右眼视力无痛性下降前来就诊。右眼眼底检查显示，后极部有一个隆起的无色素病变，相邻有一个局灶性圆形色素沉着病变。此外，还有一个更周边的无色素病变，从颞下象限顺时针方向6点延伸至9点。葡萄膜炎检查以及脑部和眼眶的影像学检查均正常。进行了视网膜脉络膜活检，结果显示存在脉络膜结外边缘区淋巴瘤。该患者接受了外照射放疗。本报告对所有已报道的脉络膜结外边缘区淋巴瘤病例的文献进行了综述。
