Acute lymphoblastic leukemia manifesting in an adult as a conjunctival mass.
OBJECTIVE
To describe the clinical manifestation and course of disseminated acute lymphoblastic leukemia in an adult.


METHODS
Case report. Recurrence of disseminated disease was heralded by "salmon patch" involvement of the conjunctiva. The ocular tumor was treated successfully with external beam radiotherapy.


RESULTS
The patient, who had a history of T-cell acute lymphoblastic leukemia, had recurrent disease involving the left eye conjunctiva. The diagnosis was confirmed by histopathologic analysis.


CONCLUSIONS
Although acute lymphoblastic leukemia typically occurs in children, the tumor can masquerade as a conjunctival lymphoma in adults.
Cook
B E
BE
Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905, USA.
Bartley
G B
GB
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D001918:Brachytherapy / Q000379:methods; D003228:Conjunctiva / Q000473:pathology*; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000532:radiotherapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000175:diagnosis* / Q000532:radiotherapy; D008297:Male; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity