A Case of Infraorbital B-cell Lymphoma Masquerading as an Abscess.

Cancer diagnosis & prognosis Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI:10.21873/cdp.10437
Saad Rashid, Mudassar Sandozi, Saagar Pamulapati, Ajay Doniparthi, Suneha Pocha, Mohammed Ahmed Khan
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Abstract

Background/aim: Primary ocular adnexal lymphomas pose a diagnostic challenge for physicians due to their nonspecific symptom presentation and resemblance to other periorbital masses, such as skin and soft tissue infections. Early diagnosis and appropriate management are crucial for optimizing outcomes and coordination of therapy.

Case report: We present a case of a 67-year-old male with a history of infraorbital trauma, initially managed as a soft tissue infection, which was later revealed to be a large B-cell lymphoma. Despite multiple specialty evaluations, including dermatology, ophthalmology, plastic surgery, and ENT, among others, diagnosis was delayed, leading to worsening symptoms and vision impairment.

Conclusion: This case highlights the importance of considering ocular adnexal lymphomas in the differential diagnosis of periorbital masses and the need for interdisciplinary collaboration for timely recognition and treatment.

眼眶下b细胞淋巴瘤伪装成脓肿1例。
背景/目的:原发性眼附件淋巴瘤由于其非特异性症状表现和与其他眼眶周围肿块(如皮肤和软组织感染)相似,给医生的诊断带来了挑战。早期诊断和适当的管理是优化结果和协调治疗的关键。病例报告:我们报告一位67岁男性患者,有眶下外伤史,最初是软组织感染,后来发现是大b细胞淋巴瘤。尽管进行了皮肤科、眼科、整形外科、耳鼻喉科等多种专业评估,但诊断却被延误,导致症状恶化和视力受损。结论:本病例强调了考虑眼附件淋巴瘤在眶周肿块鉴别诊断中的重要性,以及及时识别和治疗的跨学科合作的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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