Noda S, Hayasaka S, Setogawa T
Department of Ophthalmology, Shimane Medical University, Izumo, Japan.
Ann Ophthalmol. 1993 Jan;25(1):30-4.
A diagnosis uveitis OS was made in a 54-year-old woman; this was resistant to corticosteroid treatment. One year later, both eyes were involved. Examination of the vitreous aspirate and the results of a chorioretinal biopsy OD did not yield a correct diagnosis. Computed tomographic scanning showed orbital invasion OD. Malignant lymphoma was diagnosed after a biopsy specimen of the orbital contents was studied histopathologically. Radiotherapy and chemotherapy diminished the orbital mass and intraocular lesions. After regression of the orbital lesion, a brain tumor was found and treated with radiotherapy and chemotherapy. At age 57 years, the patient died. We believe that our patient had a rare case of intraocular lymphoma associated with orbital invasion.
一名54岁女性被诊断为左眼葡萄膜炎,对皮质类固醇治疗耐药。一年后,双眼均受累。玻璃体抽吸物检查及右眼脉络膜视网膜活检结果未能得出正确诊断。计算机断层扫描显示右眼眼眶受侵。对眼眶内容物活检标本进行组织病理学研究后诊断为恶性淋巴瘤。放疗和化疗使眼眶肿块及眼内病变缩小。眼眶病变消退后,发现脑部肿瘤并进行了放疗和化疗。患者于57岁时死亡。我们认为该患者患有罕见的伴有眼眶侵犯的眼内淋巴瘤病例。