- 期刊
- OpenAccess
Primary Conjunctival Lymphoma-A Case Report
原發性結膜淋巴瘤－病例報告
摘要
原發性眼瞼淋巴瘤十分少見，遠較於次發性結膜淋巴瘤要少很多。我們報告一63歲健康男性病人在球結膜處，發現一個鮭魚顏色，13×12mm的腫瘤，經全身檢查，及後續追蹤，無復發，也無相關身體的病變發生。 病理檢查及免疫螢光學檢查，顯示這是一個marginal zone B-celll ymphoma positive for L26 (CD20)，but negative for UCHL-l。 大部份的原發性眼瞼淋巴瘤屬於mucosa-associated lymphoid tissue (MALT)，預後良好，只需保守療法。
關鍵字
無資料並列摘要
Primary conjunctival lymphomas are very rare. They are much less than secondary conjunctival lymphomas. The clinical course of primary conjunctival lymphoma was discussed here. We report a 63 year-old healthy patient with a 13×12 mm salmon-color patch on the right bulbar conjunctiva for three months was admitted to our department under the impression of conjunctival lymphoma. The patient felt neither pain nor tenderness, but the lesion was growing progresssively. We performed an extensive excision of the lesion through the conjunctiva. Systemic evaluation for lymphoma was also done. The pathological and immunohistochemical findings revealed a marginal zone B-cell lymphoma positive for L26 (CD20), but negative for UCHL-1. The patient was followed-up at ophthalmic and hematological departments. Systemic examinations were all within normal limits. This is a rare case of primary conjunctival lymphoma completely excised by extensive excision. Most primary conjunctival lymphomas are mucosa-associated lymphoid tissue (MALT) types and the condition often has a favorable prognosis.
延伸閱讀
- 梁文深、周志銘、楊治國（1990）。原發性胃淋巴瘤－病例報告。慈濟醫學雜誌，2(6)，478-486。https://doi.org/10.6440/TZUCMJ.199011.0478
- 鄭嘉莉、林宏政、吳哲輝、劉之怡、宋詠娟（2006）。顎下淋巴瘤－病例報告。中華牙醫學雜誌（中文版），25(2)，124-128。https://doi.org/10.7106/CJD.200606.0124
- 呂姿瑢、袁漢良（2001）。結膜反應性淋巴性增生－病例報告。中華民國眼科醫學會雜誌，40(1)，90-95。https://doi.org/10.30048/ACTASOS.200103.0015
- 林志崇、陳培榕（1998）。原發性喉部淋巴瘤－病例報告。中華民國耳鼻喉科醫學會雜誌，33(4)，421-425。https://doi.org/10.6286/1998.33.4.421
- Su, Y. C., Fong, Y., Kuo, J. R., & Tsai, Y. F. (2009). 原發性胸壁淋巴瘤：病例報告. 胸腔醫學, 24(6), 346-351. https://doi.org/10.29806/TM.200912.0007