Abstract
Purpose: To report a rare case of T-cell malignant lymphoma involving the conjunctiva. Methods: A 63-year-old woman had rapid onset of bilateral perilimbal congestion and chemosis. Perilimbal thickening with corneal infiltration developed 20 days later. Computed tomography incidentally disclosed a right maxillary sinus mass. Biopsy specimens from the maxillary sinus mass and the left limbus were subjected to histopathologic examination and immunohistochemical study. Results: T-cell malignant lymphoma of diffuse large cell type, stage IV, was diagnosed. The patient was treated with combination chemotherapy plus 13- cis-retinoic acid and remained in remission 1 1 2 years after diagnosis. Conclusion: Conjunctival involvement with T-cell lymphoma may present as episcleritis and chemosis.
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