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Noh, Kie, and Kim: A Case of Primary Eyelid Peripheral T-Cell Lymphoma, Not Otherwise Specified
Case Report
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(11): 1685-1688.

Published online: 19 November 2012

DOI: https://doi.org/10.3341/jkos.2012.53.11.1685

A Case of Primary Eyelid Peripheral T-Cell Lymphoma, Not Otherwise Specified

Si Jin Noh, MD1, Jeong Hae Kie, MD2, Hye Young Kim, MD3

1Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

2Department of Pathology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.

3Department of Ophthalmology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.

Address reprint requests to Hye Young Kim, MD. Department of Ophthalmology, National Health Insurance Corporation Ilsan Hospital, #100 Ilsan-ro, Ilsandong-gu, Goyang 410-719, Korea. Tel: 82-31-900-0590, Fax: 82-31-900-0049, khyeye@paran.com

Received 4 May 2012       Accepted 27 September 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To report a case of primary peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS), of the eyelid.

Methods

A 48-year-old healthy male patient presented with a mass on the upper lid of 2 months in duration. The lesion was reddish, well-demarcated, oval shaped, and measured approximately 8 × 4 mm. The mass did not respond to incisional drainage and intra-lesional triamcinolone. An excisional biopsy for diagnosis was performed.

Results

On microscopic examination, a localized dense lymphocytic infiltration was observed in the subepithelial area, and cytologic atypia was observed under high power. On immunohistochemical examination, tumor cells were positive for CD3 but negative for CD20, CD30, CD56, ĸ-light chain immunoglobulin, λ-light chain immunoglobulin, and increased Ki-67 activity was noted. A histopathological diagnosis of PTCL-NOS was made.

Conclusions

PTCL-NOS, which rarely occurs on the eyelids, commonly accompanies generalized lymphadenopathy and "B symptoms" such as fever and weight loss. Herein, the authors report a case of PTCL-NOS of the eyelid presenting as a rapidly growing solid mass in an otherwise healthy patient.

Keywords: Eyelid tumor, Peripheral T-cell lymphoma, not otherwise specified

Figures and Tables

Figure 1
Preoperative appearance shows a reddish, well-demarcated, oval shaped mass in the right upper eyelid.
jkos-53-1685-g001
Figure 2
On microscopic examination, a localized dense lymphocytic infiltration is seen in the subepithelial area (A: H&E, ×40), and cytologic atypia is seen on high power (B: H&E, ×400). On immunohistochemical stain, these atypical lymphocytes show diffuse strong immunoreactivity for CD3 along the cytoplasmic membrane (C) with increased Ki-67 activity (D), which is consistent with peripheral T-cell lymphoma, not otherwise specified.
jkos-53-1685-g002

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