دورية أكاديمية
Management of primary choroidal lymphoma presenting as extensive serous retinal detachment and salmon patch of bulbar conjunctiva: a case report
| العنوان: | Management of primary choroidal lymphoma presenting as extensive serous retinal detachment and salmon patch of bulbar conjunctiva: a case report |
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| المؤلفون: | Zahra Mahdizad, Elias Khalili Pour, Mohammadreza Mehrabi Bahar, Amirreza Esfandiari, Babak Masoomian, Hamid Riazi-Esfahani, Ahmad Mirshahi, Fariba Ghassemi |
| المصدر: | Journal of Medical Case Reports, Vol 16, Iss 1, Pp 1-6 (2022) |
| بيانات النشر: | BMC, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Lymphoma, Marginal zone B-cell lymphoma radiotherapy, Reactive lymphoid hyperplasia, Uveal neoplasms, Medicine |
| الوصف: | Abstract Background We describe the outcome of ultra-low-dose radiotherapy plus intravitreal methotrexate and rituximab injections for a patient with primary choroidal lymphoma who presented with nodular conjunctival salmon patches and extensive serous retinal detachment. Case presentation A 34-year-old Iranian man presented with a nodular patch of bulbar conjunctiva in the right eye, and 1+ vitritis. A nearly complete shallow serous retinal detachment, retinal folds, and multifocal yellow choroidal infiltrates were seen during a fundus examination of the right eye. Enhanced depth imaging optical coherence tomography revealed macular retinal folds and an uneven, undulating, “seasick” appearance of the choroidal surface with choriocapillaris compression, intraretinal and subretinal fluid, and clusters of optically dense material at the outer retinal level. An incisional biopsy of the conjunctival lesion confirmed the diagnosis of primary choroidal lymphoma with epibulbar involvement. The patient was treated with ultra-low-dose “boom-boom” radiation (4 Gy delivered in two fractions over two consecutive days) as well as intravitreal methotrexate and rituximab injections. After a year, the lesions had completely disappeared, with no adverse effects or recurrence. Conclusion Ultra-low-dose (boom-boom) radiotherapy combined with intravitreal chemotherapy and/or immunotherapy may be an effective treatment for primary choroidal lymphoma with anterior epibulbar extension and diffuse subretinal fluid with favorable response and minimal side effects. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1752-1947 41159578 |
| العلاقة: | https://doaj.org/toc/1752-1947Test |
| DOI: | 10.1186/s13256-022-03373-z |
| الوصول الحر: | https://doaj.org/article/186e0fbaf06f41159578d536e14ff715Test |
| رقم الانضمام: | edsdoj.186e0fbaf06f41159578d536e14ff715 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17521947 41159578 |
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| DOI: | 10.1186/s13256-022-03373-z |