Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides
Background. Ocular involvement in mycosis fungoides (MF) cases occurs in one-third of patients with the eyelid being the most frequent site affected; however, conjunctival involvement is rarely reported. Herein, we report a rare case of conjunctival involvement of MF. Case Presentation. A 66-year-ol...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/4786498 |
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| author | Sultan S. Aldrees Pablo Zoroquiain Sarah A. Alghamdi Patrick T. Logan Sonia Callejo Miguel N. Burnier |
| author_facet | Sultan S. Aldrees Pablo Zoroquiain Sarah A. Alghamdi Patrick T. Logan Sonia Callejo Miguel N. Burnier |
| author_sort | Sultan S. Aldrees |
| collection | DOAJ |
| description | Background. Ocular involvement in mycosis fungoides (MF) cases occurs in one-third of patients with the eyelid being the most frequent site affected; however, conjunctival involvement is rarely reported. Herein, we report a rare case of conjunctival involvement of MF. Case Presentation. A 66-year-old man who was previously diagnosed with MF in 2010 and was treated presented in 2014 complaining of foreign body sensation and redness in both eyes. Slit lamp examination of both eyes showed erythematous conjunctival growth that extended circumferentially. Physical examination revealed erythematous skin lesions on different body parts. Conjunctival biopsy was performed and revealed a dense, highly polymorphic lymphocytic population. The immunophenotype demonstrated a neoplastic T-cell origin consistent with MF. A diagnosis of conjunctival involvement by MF was made. The conjunctiva was treated with radiotherapy resulting in tumor regression. There were no recurrences at the 6-month follow-up. Conclusion. T-cell lymphoma should be considered in patients with a history of MF presenting with conjunctival and skin lesions. |
| format | Article |
| id | doaj-art-37848b2f39ef49d9bbaacfcefc8409b6 |
| institution | OA Journals |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-37848b2f39ef49d9bbaacfcefc8409b62025-08-20T02:07:59ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/47864984786498Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis FungoidesSultan S. Aldrees0Pablo Zoroquiain1Sarah A. Alghamdi2Patrick T. Logan3Sonia Callejo4Miguel N. Burnier5Henry C. Witelson Ocular Pathology Laboratory, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaHenry C. Witelson Ocular Pathology Laboratory, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaHenry C. Witelson Ocular Pathology Laboratory, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaHenry C. Witelson Ocular Pathology Laboratory, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaDepartment of Ophthalmology, McGill University, 5252 Boulevard de Maisonneuve Ouest, Montreal, QC, H4A 3S5, CanadaHenry C. Witelson Ocular Pathology Laboratory, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaBackground. Ocular involvement in mycosis fungoides (MF) cases occurs in one-third of patients with the eyelid being the most frequent site affected; however, conjunctival involvement is rarely reported. Herein, we report a rare case of conjunctival involvement of MF. Case Presentation. A 66-year-old man who was previously diagnosed with MF in 2010 and was treated presented in 2014 complaining of foreign body sensation and redness in both eyes. Slit lamp examination of both eyes showed erythematous conjunctival growth that extended circumferentially. Physical examination revealed erythematous skin lesions on different body parts. Conjunctival biopsy was performed and revealed a dense, highly polymorphic lymphocytic population. The immunophenotype demonstrated a neoplastic T-cell origin consistent with MF. A diagnosis of conjunctival involvement by MF was made. The conjunctiva was treated with radiotherapy resulting in tumor regression. There were no recurrences at the 6-month follow-up. Conclusion. T-cell lymphoma should be considered in patients with a history of MF presenting with conjunctival and skin lesions.http://dx.doi.org/10.1155/2016/4786498 |
| spellingShingle | Sultan S. Aldrees Pablo Zoroquiain Sarah A. Alghamdi Patrick T. Logan Sonia Callejo Miguel N. Burnier Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides Case Reports in Ophthalmological Medicine |
| title | Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides |
| title_full | Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides |
| title_fullStr | Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides |
| title_full_unstemmed | Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides |
| title_short | Conjunctival Involvement of T-Cell Lymphoma in a Patient with Mycosis Fungoides |
| title_sort | conjunctival involvement of t cell lymphoma in a patient with mycosis fungoides |
| url | http://dx.doi.org/10.1155/2016/4786498 |
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