[Cutaneous T-cell lymphoma of the mycosis fungoides type in the area of the eyelid and lacrimal ducts].
METHODS
A 62-year-old former miner with silicosis of the lungs but otherwise in good general condition presented with a solid nodule in the nasal left lid area for a duration of three months. Because of a central ulceration the reference diagnosis was basalioma. The tumour infiltrated the nasal part of the upper and lower eyelid and the tear ducts so that these were unrinseable. Similar lesions have been present since two years in other skin regions.


METHODS
Two cutaneous biopsies confirmed the diagnosis of a Mycosis fungoides without detectable expression of the CD30-antigen. Medical investigation finally revealed hepatosplenomegaly and cervical, inguinal and abdominal lymph node involvement. A lymph node biopsy three months after presentation again showed a T-cell-lymphoma which was CD30-positive now.


METHODS
Systemic polychemotherapy was started. The lid lesions completely resolved, and the tear ducts were rinseable again.
Aaliouet
H
H
Abteilung I, Universitäts-Augenklinik.
Rohrbach
J M
JM
Wohlrab
T M
TM
Horny
H P
HP
Sönnichsen
K
K
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D005134:Eye Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005142:Eyelid Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005143:Eyelids / Q000473:pathology; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009182:Mycosis Fungoides / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology