title: Caruncular tumor as the first sign of T-cell lymphoma relapse.
abstract: The lacrimal caruncle is a modified cutaneous tissue that contains hair follicles, accessory lacrimal glands, sweat glands, lobules of fat, and sebaceous glands. Due to the nature of tissue, a variety of lesions, both benign and malignant, could arise from this area. Lymphomas of the eye and its adnexa are frequently of B-cell lineage. We would like to report a rare and unique case of a patient presenting with a caruncular tumor of CD30-positive T-cell anaplastic large cell lymphoma (T-ALCL) origin, serving as the first, initial, sole sign of recurrence of previously treated cutaneous T-ALCL. We believe this to be the first such report in the literature. We aim to emphasize the importance of considering such a condition while formulating the differential diagnosis of caruncular tumour in patients with history of T-cell lymphoma and to characterize the clinical course of such a presentation.
authors.affiliation: Department of Ophthalmology, Sunderland Eye Infirmary , Sunderland , UK .
authors.forename: Darren S J
authors.initials: DS
authors.lastname: Ting
authors.forename: Qasim
authors.initials: Q
authors.lastname: Mansoor
authors.forename: Susanna
authors.initials: S
authors.lastname: Mathew
authors.forename: Nicholas K
authors.initials: NK
authors.lastname: Wride
mesh_terms: D000369:Aged, 80 and over; D003230:Conjunctival Neoplasms / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D017728:Lymphoma, Large-Cell, Anaplastic / Q000175:diagnosis*; D016399:Lymphoma, T-Cell / Q000175:diagnosis*; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D012878:Skin Neoplasms / Q000473:pathology* / Q000532:radiotherapy
keywords: Anaplastic; CD-30; T-cell; caruncle; large-cell; lymphoma