J Korean Ophthalmol Soc.  2008 Sep;49(9):1543-1547.

A Case of Orbital Malignant Lymphoma associated with Acquired Immunodeficiency Syndrome (AIDS)

• Kim SJ
• Shin MG
• Lee JS

Abstract

PURPOSE
To report a rare case of orbital malignant lymphoma that occurred in a patient with acquired immunodeficiency syndrome.
CASE SUMMARY
A 39-year-old male with acquired immunodeficiency syndrome complained of proptosis and loss of visual acuity. The best corrected visual acuity of his right eye was no light perception, and the BCVA of his left eye was 1.0. Ocular movement was limited, and esotropia of 15 prism diopters was detected. Exophthalmometry measurements showed a significant difference between both eyes (right eye was 18 mm, left eye was 15 mm). Computed tomography scans of the patient's orbit with contrast showed an enhancing mass in the right orbit, so a biopsy was performed. A biopsy specimen of the mass revealed non-Hodgkin's lymphoma (anaplastic variant, diffuse large B cell type). Distant metastasis was not found using abdominal and thoracic computed tomography and positron emission tomography. He underwent radiotherapy (30 Gy, 15 times).
CONCLUSIONS
Orbital non-Hodgkin's lymphoma (B cell type) in a patient with AIDS is rare, but our case showed a good response to radiation therapy.

Keyword

Acquired immunodeficiency syndrome; Orbital malignant lymphoma

MeSH Terms

Acquired Immunodeficiency Syndrome
Adult
Biopsy
Esotropia
Exophthalmos
Eye
Humans
Light
Lymphoma
Lymphoma, Non-Hodgkin
Male
Neoplasm Metastasis
Orbit
Positron-Emission Tomography and Computed Tomography
Visual Acuity

Figure

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  Figure 1. Computed tomograph shows tumor infiltration of the orbit with molding to orbital contour.

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  Figure 2. Cytology of orbital mass showing typical large type of lymphoid tumor cells with coarse chromatin pattern and small amount of cytoplasm.

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  Figure 3. Computed tomograph after radiotherapy shows partial remission.

Reference

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