Malignant Lymphoma of The Canalicular: A Rare Case Report
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Abstract
Background: Malignant lymphoma in the lacrimal system is a rare case of ocular malignancy. It is often caused by immunosuppression conditions or associated with older age. We aim to discuss the diagnosis and management of malignant lymphoma in the lacrimal canaliculus. Results: Woman, 60 years old, came with a swollen left upper eyelid, red eye, and eye discharge. She had been assessed as blepharoconjunctivitis and received adequate antibiotics for the last four months. However, her complaints were still existed. She had ocular pain, itchiness, yellowish thick eye discharge. History of previous tumor was denied. Physical examination revealed a swollen lacrimal punctum on the left upper eyelid, depicted a ‘fish mouth appearance’ with volume 3.0 x 3.0 x 3.0 mm. Irrigation test showed a negative result with a positive regurgitation discharge. Punctum incision and curettage were performed using local anesthesia. The curettage procedure revealed a dacryolith on the upper side and a purplish-red mass on the lower side. Culture test showed a positive result for Staphylococcus aureus infection. The mass was sent to pathology anatomy and resulted in a limfo-proliferative lesion, raising a suspect of a malignant lymphoma. The patient was referred to the Hematology-Oncology division to determine the stage and treatment. Conclusion: The diagnostic tests needed for malignant lymphoma case include biopsy, laboratory, and radiology examination. Biopsy must always be done assuming that the mass is malignant, until proven otherwise. Management of malignant lymphoma itself is based on the severity degree of the lymphoma.
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References
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