title: Surgical treatment of obstructive palpebral tumors in d'emblee variant of cutaneous T-cell lymphoma.
abstract: 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.
authors.affiliation: The Center for Dermatology Care, Thousand Oaks, California, USA. aguanche@yahoo.com
authors.forename: Anna D
authors.initials: AD
authors.lastname: Guanche
authors.forename: Kimberly
authors.initials: K
authors.lastname: Bohjanen
authors.forename: Whitney D
authors.initials: WD
authors.lastname: Tope
mesh_terms: 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*