| A Case of Orbital MALT Lymphoma in a Patient with Rheumatoid Arthritis. |
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Chan Joo Ahn, Nam Ju Kim |
1Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. resourceful@hanmail.net
2Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. |
| 류마티스 관절염 환자에서 발생한 안와 점막연관 림프조직형 림프종 1예 |
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안찬주1⋅김남주1,2 |
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서울대학교 의과대학 서울대학교병원 안과학교실1, 서울대학교 의과대학 분당서울대학교병원 안과학교실2 |
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| Abstract |
PURPOSE
To report a case of orbital mucosa-associated lymphoid tissue (MALT) lymphoma that occurred in a patient with rheumatoid arthritis (RA). CASE SUMMARY: A 70-year-old male with alleged RA presented with a 3-month history of spontaneous and painless upper and lower eyelid swelling in the right eye. On initial examination, palpable nodules were observed at the right upper and lower eyelids and orbital computed tomography (CT) revealed a contrast-enhancing nodule just inferior to the lacrimal gland, thus an incisional biopsy was performed. The pathological report showed malignant orbital lymphoma (low grade extranodal marginal zone B cell lymphoma of MALT). Since distant metastases were not detected on whole-body CT and positron emission tomography, the patient was advised to keep previous medication and regular follow-up examinations. CONCLUSIONS: The possibility of MALT lymphoma should be considered as a differential diagnosis in patients with eyelid swelling and autoimmune diseases such as RA. |
| Key Words:
Autoimmune disease;Eyelid swelling;MALT lymphoma;Rheumatoid arthritis |
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