Orbital lymphoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Bilateral painless proptosis.

Patient Data

Age: 39 years old
Gender: Male
MRI

An ill defined homogenous soft tissue intensity lesions are seen occupying the retro-orbital intra-conal spaces bilaterally. On the left side it occupies the superior portion of intra conal space and encases the optic nerve. On the right side it occupies the inferior portion of the space, encases and possibly infiltrates the inferior rectus and inferior oblique muscles. These lesions display low signal on T2, iso signal on T1 and avid enhancement on post contrast study.

MRI

Follow up study 4 months later after the patient received three cycles of radiotherapy. There is time interval regressive course of both orbital lymphomatous infiltration and disappearance of the left side perineural spread.

Case Discussion

This patient has a known history of lymphoma. 

Orbital lymphoma is a part from Non-Hodgkin lymphoma and associated with MALT lymphoma. Differential diagnosis includes orbital metastasis, rhabdomyosarcoma and pseudotumor.

PlayAdd to Share

Case information

rID: 36805
Case created: 11th May 2015
Last edited: 19th Nov 2015
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.