Anaplastic Large Cell Lymphoma Involving Anterior Segment of the Eye

A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of a left frontal skin lesion. During the first cycle of chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone), the patient complained of right ocular pain and inflammation. Cytolo...

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Published inKorean journal of ophthalmology Vol. 28; no. 1; pp. 108 - 112
Main Authors Park, Choul Yong, Hwang, Sang Won, Kim, Do Yeun, Huh, Hee Jin, Oh, Jong-Hyun
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Ophthalmological Society 01.02.2014
대한안과학회
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Online AccessGet full text
ISSN1011-8942
2092-9382
2092-9382
DOI10.3341/kjo.2014.28.1.108

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Abstract A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of a left frontal skin lesion. During the first cycle of chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone), the patient complained of right ocular pain and inflammation. Cytologic examination using aqueous humor revealed atypical lymphocytes, suggesting intraocular ALCL involvement. Acute angle closure developed in the anterior chamber due to rapid progression of ALCL, causing pupillary block. Laser and surgical interventions were attempted but failed to relieve the pupillary block. Finally, radiation therapy resolved the pupillary block to restore the anterior chamber and normalize intraocular pressure. This is the first case in the English literature of ALCL involving the iris to cause acute secondary angle closure.
AbstractList A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of a left frontal skin lesion. During the first cycle of chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone), the patient complained of right ocular pain and inflammation. Cytologic examination using aqueous humor revealed atypical lymphocytes, suggesting intraocular ALCL involvement. Acute angle closure developed in the anterior chamber due to rapid progression of ALCL, causing pupillary block. Laser and surgical interventions were attempted but failed to relieve the pupillary block. Finally, radiation therapy resolved the pupillary block to restore the anterior chamber and normalize intraocular pressure. This is the first case in the English literature of ALCL involving the iris to cause acute secondary angle closure.A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of a left frontal skin lesion. During the first cycle of chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone), the patient complained of right ocular pain and inflammation. Cytologic examination using aqueous humor revealed atypical lymphocytes, suggesting intraocular ALCL involvement. Acute angle closure developed in the anterior chamber due to rapid progression of ALCL, causing pupillary block. Laser and surgical interventions were attempted but failed to relieve the pupillary block. Finally, radiation therapy resolved the pupillary block to restore the anterior chamber and normalize intraocular pressure. This is the first case in the English literature of ALCL involving the iris to cause acute secondary angle closure.
A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of aleft frontal skin lesion. During the first cycle of chemotherapy (cyclophosphamide, doxorubicin, vincristine, andprednisolone), the patient complained of right ocular pain and inflammation. Cytologic examination usingaqueous humor revealed atypical lymphocytes, suggesting intraocular ALCL involvement. Acute angleclosure developed in the anterior chamber due to rapid progression of ALCL, causing pupillary block. Laserand surgical interventions were attempted but failed to relieve the pupillary block. Finally, radiation therapyresolved the pupillary block to restore the anterior chamber and normalize intraocular pressure. This is thefirst case in the English literature of ALCL involving the iris to cause acute secondary angle closure. KCI Citation Count: 0
A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of a left frontal skin lesion. During the first cycle of chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone), the patient complained of right ocular pain and inflammation. Cytologic examination using aqueous humor revealed atypical lymphocytes, suggesting intraocular ALCL involvement. Acute angle closure developed in the anterior chamber due to rapid progression of ALCL, causing pupillary block. Laser and surgical interventions were attempted but failed to relieve the pupillary block. Finally, radiation therapy resolved the pupillary block to restore the anterior chamber and normalize intraocular pressure. This is the first case in the English literature of ALCL involving the iris to cause acute secondary angle closure.
Author Kim, Do Yeun
Oh, Jong-Hyun
Huh, Hee Jin
Park, Choul Yong
Hwang, Sang Won
AuthorAffiliation 2 Department of Internal Medicine, Dongguk University Seoul, Graduate School of Medicine, Seoul, Korea
3 Department of Laboratory Medicine, Dongguk University Seoul, Graduate School of Medicine, Seoul, Korea
1 Department of Ophthalmology, Dongguk University Seoul, Graduate School of Medicine, Seoul, Korea
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Issue 1
Keywords Eye
Acute angle closure
Radiotherapy
Anaplastic large cell lymphoma
Language English
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Snippet A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of a left frontal skin lesion. During the first cycle of...
A 36-year-old woman was diagnosed with anaplastic large cell lymphoma (ALCL) by excisional biopsy of aleft frontal skin lesion. During the first cycle of...
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StartPage 108
SubjectTerms Adult
Anterior Eye Segment - pathology
Biopsy
Case Report
Diagnosis, Differential
Eye Neoplasms - diagnosis
Female
Humans
Lymphoma, Large-Cell, Anaplastic - diagnosis
Magnetic Resonance Imaging
Neoplasm Invasiveness
Positron-Emission Tomography
안과학
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Title Anaplastic Large Cell Lymphoma Involving Anterior Segment of the Eye
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