Orbital lymphoma

Case contributed by Dr David van Gelderen

Presentation

Proptosis

Patient Data

Age: 80 years
Gender: Male
CT

CT Orbits

Extensive bilateral retro-orbital soft tissue, both intra-and extraconal, that is isodense to the extraocular muscles and appears to involve them.

Case Discussion

Lymphoplasmacytic lymphoma was diagnosed histologically from bone marrow biopsy, and this process was therefore assumed to be the same pathology.

Lymphoplasmacytic lymphoma is a rare non-Hodgkin lymphoma.  There are several types, but the commonest is Waldenström's macroglobulinemia.

This appearance in the orbits is usually secondary to non-Hodgkin lymphoma. Orbital pseudolymphoma or thyroid orbitopathy predominantly involve the extraocular muscles, without extensive abnormal tissue in the retro-orbital fat.

PlayAdd to Share

Case information

rID: 22444
Published: 1st Apr 2013
Last edited: 15th Oct 2019
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.