2016 Hematological Malignancies

Case study orbital lymphoma • 25 year old international business student presents with a 3 year history of swelling of her right upper eyelid and slowly enlarging mass. Referred to Consultant Ophthalmic Surgeon had a biopsy : confirmed the diagnosis

of extra nodal marginal zone lymphoma. • Occasional headaches, no B symptoms • Past Medical History: nil relevant

• O/E 4 x 3cm superior orbital mass on the right hand side. On the left supero-orbital ridge a 2 x 1cm lump.

• CT Head , neck , thorax and abdomen – disease isolated to orbits only • BM trephine biopsy – no involvement