Arslan Eda, Dingerkus Vita Louisa Sophie, Heussen Florian Moritz, Schmidt Adrian, Zaugg Kathrin, Becker Matthias Dieter, Beer Marc
Department of Ophthalmology, City Hospital Waid and Triemli, Zurich, Switzerland.
Department of Internal Medicine, Clinic of Medical Oncology and Hematology, City hospital Waid and Triemli, Zurich, Switzerland.
Ocul Oncol Pathol. 2021 Sep;7(4):257-261. doi: 10.1159/000514842. Epub 2021 Apr 14.
We report a case of an uncommon presentation of Epstein-Barr virus (EBV)-associated plasma cell neoplasm in a patient with a history of prostate cancer and hairy cell leukemia (HCL) in remission after chemotherapy. The diagnosis of an EBV-associated plasma cell neoplasm was challenging as initially the findings were also compatible with a recurrence of HCL. We highlight the value of diagnostic vitrectomy to achieve the diagnosis. Our particular case demonstrates the importance of diagnostic pars plana vitrectomy and aqueous analyses in patients with uveitis of an unknown cause to confirm the diagnosis.
我们报告了一例罕见的爱泼斯坦-巴尔病毒（EBV）相关浆细胞瘤病例，患者有前列腺癌病史，曾患毛细胞白血病（HCL），化疗后处于缓解期。EBV相关浆细胞瘤的诊断颇具挑战性，因为最初的检查结果也与HCL复发相符。我们强调了诊断性玻璃体切割术对于明确诊断的价值。我们的这个特殊病例表明，对于病因不明的葡萄膜炎患者，诊断性玻璃体切割术及房水分析对于确诊至关重要。
