小淋巴细胞性淋巴瘤表现为双侧下眼睑内侧外翻

Q3 Medicine

American Journal of Ophthalmology Case Reports Pub Date : 2025-05-09 DOI:10.1016/j.ajoc.2025.102352

Sonia Anchouche , Kenneth Chang , Christopher MKL Yao , Carlo Hojilla , Navdeep Nijhawan , Georges Nassrallah

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引用次数: 0

摘要

本文报告一位85岁男性患者，新发下眼睑内侧外翻及持续无痛性颈淋巴肿大，表现独特的小淋巴细胞淋巴瘤（SLL）。体格检查显示双侧内侧外翻伴睑结膜滤泡改变和广泛的颈淋巴肿大。在外翻修复期间进行结膜活检，并对颈淋巴病变进行细针活检，两者均独立证实了SLL的诊断。手术干预，包括双侧外侧跗骨条带和内侧纺锤体手术，获得了良好的术后结果。考虑到患者的分期，他一直在观察，直到有必要治疗进行性淋巴结病。结论和重要性本报告对淋巴细胞增生性疾病的眼部表现提供了有价值的新见解。

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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Small lymphocytic lymphoma presenting as bilateral medial lower eyelid ectropion

Purpose

Herein, we present a case of new-onset medial ectropion of the lower eyelids and persistent painless cervical lymphadenopathy in an 85-year-old man highlighting a unique presentation of small lymphocytic lymphoma (SLL).

Observations

Physical examination revealed bilateral medial ectropion with associated follicular changes to the palpebral conjunctiva and extensive cervical lymphadenopathy. Conjunctival biopsies were taken during ectropion repair in addition to fine needle biopsy of the cervical lymphadenopathy which both independently confirmed a diagnosis of SLL. Surgical intervention, including bilateral lateral tarsal strip and medial spindle procedures, yielded excellent postoperative outcomes. Given the patient's staging, he remained under observation until treatment was warranted to address progressive lymphadenopathy.

Conclusions and importance

This report contributes valuable new insight into the ocular manifestations of lymphoproliferative disease.

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来源期刊

American Journal of Ophthalmology Case Reports Medicine-Ophthalmology

CiteScore

2.40

自引率

0.00%

发文量

513

审稿时长

16 weeks

期刊介绍： The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.