Primary cutaneous B cell lymphoma presenting as recurrent eyelid swelling.
Primary cutaneous lymphoma represents a distinct clinical entity within the spectrum of haematological malignancy. A case of primary cutaneous B cell lymphoma is reported, presenting in an 87-year-old female with a 2-year history of intermittent swelling and discolouration of the right upper and lower eyelids, in the absence of systemic symptoms. Histopathological examination of an incision biopsy revealed a lymphoid infiltrate in the dermis with immunophenotypic features of B cell lymphoma. Staging investigations confirmed the absence of systemic disease. Treatment with oral chemotherapy was undertaken with a good response. Ophthalmologists should include primary cutaneous lymphoma in the differential diagnosis of recurrent eyelid swelling.
Pandya
Vivek B
VB
University of Sydney, Sydney, NSW, Australia.
Conway
R Max
RM
Taylor
Simon F
SF
D000369:Aged, 80 and over; D001706:Biopsy; D004487:Edema / Q000473:pathology*; D005142:Eyelid Neoplasms / Q000473:pathology*; D005143:Eyelids / Q000473:pathology*; D005260:Female; D006801:Humans; D016393:Lymphoma, B-Cell / Q000473:pathology*; D012008:Recurrence; D012878:Skin Neoplasms / Q000473:pathology*