The Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Moorfields Eye Hospital, London, United Kingdom.
Ophthalmic Plast Reconstr Surg. 2019 May/Jun;35(3):e59-e62. doi: 10.1097/IOP.0000000000001344.
Large cysts in the orbital lobe of the lacrimal gland are rare and are associated with Sjögren syndrome and B-cell mucosa-associated lymphoid tissue lymphoma. The authors describe 4 new cases of large orbital lobe lacrimal gland cysts. The first 2 patients, both with Sjögren syndrome, had unilateral cysts associated with chronic inflammation. Mucosa-associated lymphoid tissue lymphoma was also identified in the cyst wall of the second case and could not be completely excluded in the first case. The third patient, with a history of rheumatoid arthritis, had bilateral cysts, again associated with mucosa-associated lymphoid tissue lymphoma. The fourth patient, with no history of systemic disease, had a unilateral cyst associated with reactive lymphoid hyperplasia. Finally, the authors report the long-term outcomes of 3 previously reported cases.
泪腺眶叶大囊肿罕见，与干燥综合征和 B 细胞黏膜相关淋巴组织淋巴瘤相关。作者描述了 4 例新的大眼眶叶泪腺囊肿。前 2 例患者均患有干燥综合征，单侧囊肿伴慢性炎症。第 2 例患者的囊肿壁中还发现了黏膜相关淋巴组织淋巴瘤，第 1 例中不能完全排除。第 3 例患者有类风湿关节炎病史，双侧囊肿，再次与黏膜相关淋巴组织淋巴瘤相关。第 4 例患者无系统性疾病史，单侧囊肿伴反应性淋巴组织增生。最后，作者报告了 3 例先前报道病例的长期结果。
