Surgical treatment of obstructive palpebral tumors in d'emblee variant of cutaneous T-cell lymphoma.
BACKGROUND
Our patient presented with an unusual case of rapidly growing palpebral tumors, which obstructed his vision and caused professional and social impairment.


OBJECTIVE
The objective was to report the role of surgical management in a case of the d'emblee variant of cutaneous T-cell lymphoma and to provide a literature review.


METHODS
Tumors of the eyelids previously treated with topical and oral retinoids, indomethacin, dapsone, systemic chemotherapy, and high-dose systemic corticosteroids respond finally to conservative excision and second intention healing.


RESULTS
Surgical debulking of palpebral tumors achieved remission of a locally aggressive form of cutaneous T-cell lymphoma and significant restoration of the sight, eyelid function, and social/professional function.


CONCLUSIONS
In selected cases, surgical excision of tumor tissue may be of significant assistance in managing d'emblee variant cutaneous T-cell lymphoma.
Guanche
Anna D
AD
The Center for Dermatology Care, Thousand Oaks, California, USA. aguanche@yahoo.com
Bohjanen
Kimberly
K
Tope
Whitney D
WD
D003937:Diagnosis, Differential; D005143:Eyelids / Q000473:pathology / Q000601:surgery; D006801:Humans; D016410:Lymphoma, T-Cell, Cutaneous / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*