Bhari Anju, Agrawal Sahil, Pushker Neelam, Das Prasenjit
Senior Resident (Oculoplasty, Tumor & Pediatric Ophthalmology Services), Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
Senior Research Officer (Oculoplasty, Tumor & Pediatric Ophthalmology Services), Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
Med J Armed Forces India. 2024 Sep-Oct;80(5):590-594. doi: 10.1016/j.mjafi.2022.09.012. Epub 2022 Nov 28.
Nasal natural killer/T-cell lymphoma (NK/TCL) is a rare form of malignant non-Hodgkin lymphoma (NHL) with a far more rare involvement of orbit. The orbital involvement has a highly variable clinical presentation. Here, we report one such case of a 40-year-old male patient who presented with swelling in the right upper and lower eyelids with the diminution of vision for 12 days. He had a history of blocked nose for two months. Clinical examination and CT scan of the orbit and paranasal sinuses suggested a diagnosis of right orbital cellulitis with pansinusitis. A combination of intravenous antibiotics was started, and functional endoscopic sinus surgery was done. Histopathology was a suggestive of nasal NK/TCLl NHL. After proper staging, the patient was given chemotherapy and radiotherapy. There was a complete resolution of mass with no recurrence over a follow-up of 10 months.
鼻型自然杀伤细胞/T细胞淋巴瘤（NK/TCL）是一种罕见的恶性非霍奇金淋巴瘤（NHL），累及眼眶的情况更为罕见。眼眶受累的临床表现高度多变。在此，我们报告一例40岁男性患者，其右上睑和下睑肿胀伴视力减退12天。他有两个月的鼻塞病史。眼眶和鼻窦的临床检查及CT扫描提示诊断为右眼眶蜂窝织炎伴全鼻窦炎。开始联合静脉使用抗生素，并进行了功能性鼻内镜鼻窦手术。组织病理学提示为鼻型NK/TCL非霍奇金淋巴瘤。经过适当分期后，患者接受了化疗和放疗。肿块完全消退，在10个月的随访中无复发。
