Bilateral lacrimal gland lymphoma: Case report and literature review

Ocular adnexal lymphoma accounts for approximately 1%-2% of non-Hodgkin lymphomas and 8% of extranodal lymphomas. Lacrimal gland lymphoma, especially bilateral lacrimal gland lymphoma, is rare, and imaging is often utilized to differentiate lacrimal lymphoma from other types of masses that involve t...

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Published inRadiology case reports Vol. 17; no. 1; pp. 240 - 244
Main Authors Ngoc, Luu-Thi Bich, Doan, Ngo-Van, Ngan, Vuong Kim, Phan, Nguyen-Van, Giang, Nguyen Quynh, Quyen, Huynh-Thi Do, Duc, Nguyen Minh
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.01.2022
Elsevier
Subjects
Bilateral orbits
Case Report
Lacrimal gland
Non-hodgkin lymphoma
Ocular adnexal lymphomas
Bilateral orbits
Lacrimal gland
Non-hodgkin lymphoma
Ocular adnexal lymphomas
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Summary:Ocular adnexal lymphoma accounts for approximately 1%-2% of non-Hodgkin lymphomas and 8% of extranodal lymphomas. Lacrimal gland lymphoma, especially bilateral lacrimal gland lymphoma, is rare, and imaging is often utilized to differentiate lacrimal lymphoma from other types of masses that involve the lacrimal gland and the fossa. We describe a 74-year-old male patient presenting with bilateral eye proptosis, lachrymose without pain, and no changes in eyesight. Brain-orbit magnetic resonance imaging revealed bilateral lacrimal fossa masses with regular contours, moderate enhancement, and restriction on diffusion imaging, consistent with a lymphoma diagnosis, which was confirmed by histopathological results. Positron emission tomography-computed tomography was used to determine lymphoma grading. MRI, especially diffusion imaging, can be useful for guiding clinicians in the diagnosis and differentiation of lacrimal gland lymphoma from other lesions.
Bibliography:These authors contributed equally to this article.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2021.10.046