Dr. Malakar Amar Jyoti

Dr.ALANKRITA HAZARIKA

Abstract

A 38 years old male presented with right sided periorbital swelling for 15 years. It was gradually progressive in nature. There is no history of pain, redness. There was no history of trauma. on examination R/E BCVA 6/6 and L/E 6/6.

On examination right eye, mild proptosis and mild ptosis and mild restricting movement laterally

The proptosis was non pulsatile

without ocular bruit. There is no lymph nodes enlargement. Rest of cranial nerves and neurological assessment was normal.

Investigation

USG : large heterogeneous hypoechoic lesion involving upper and lower eyelids, haemangioma.

CECT: homogeneously enhancing soft tissue density in right infra orbital region, suggestive of lymphoma

MRI : suggestive lymphoma

FNAC : shows centrocytes, centroblasts, atypical cells with high N:C ratio along with mature lymphocytes.

Excision biopsy : confirmed lymphoma