眼睑巨大肿物：外周T细胞淋巴瘤，非特指型
A Giant Mass in the Eyelid: Peripheral T-Cell Lymphoma, Not Otherwise Specified.
作者信息
Yuksel Nilay, Koc Sule Idaci, Can Ferda, Dilek Imdat
机构信息
Ophthalmic Plastic Surgery Service, Department of Ophthalmology, Ankara City Hospital, Ankara, Turkey.
Department of Ophthalmology, Ankara City Hospital, Ankara, Turkey.
出版信息
J Curr Ophthalmol. 2023 Aug 11;35(1):100-102. doi: 10.4103/joco.joco_314_22. eCollection 2023 Jan-Mar.
PURPOSE
To report a case with an unusual giant mass in the eyelid which was diagnosed as peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS).
METHODS
A 40-year-old woman was referred with a 1-year history of rapidly and constantly growing eyelid mass.
RESULTS
The patient underwent an incisional biopsy and histopathological examination revealed a PTCL-NOS. After achieving regression by the combination of cyclophosphamide, hydroxydoxorubicin, vincristine (oncovin), etoposide, and prednisolone therapy, the remaining crusts were debrided, the eyelids were separated, and the wound was left to heal by secondary intention. Cicatricial ectropion of the lower eyelid occurred during follow-up and it was corrected with a free skin graft successfully.
CONCLUSION
PTCL-NOS is uncommon but it may reach massive dimensions in the eyelid region.
目的
报告1例眼睑部出现罕见巨大肿物的病例，该病例被诊断为非特指外周T细胞淋巴瘤（PTCL-NOS）。
方法
一名40岁女性因眼睑肿物快速持续生长1年前来就诊。
结果
患者接受了切开活检，组织病理学检查显示为PTCL-NOS。经环磷酰胺、羟基柔红霉素、长春新碱（长春花碱）、依托泊苷和泼尼松龙联合治疗后肿物消退，清除剩余痂皮，分离眼睑，创面二期愈合。随访期间出现下睑瘢痕性外翻，成功行游离皮片移植矫正。
结论
PTCL-NOS并不常见，但可在眼睑区域长成巨大肿物。
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