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Bilateral lacrimal glands and paranasal sinus diffuse large B-cell lymphoma following lung mucosa-associated lymphoid tissue lymphoma in one patient


1 Department of Medical Education, China Medical University Hospital, China Medical University, Taichung City, Taiwan
2 Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan
3 Department of Pathology, China Medical University Hospital, China Medical University, Taichung City, Taiwan
4 Department of Internal Medicine, Division of Hematology and Oncology, China Medical University Hospital, Taichung City, Taiwan

Correspondence Address:
Cheng-Hsien Chang,
Department of Ophthalmology, China Medical University Hospital, China Medical University, 2 Yuh-Der Road, Taichung City, 40447
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_91_20

We report an atypical case of diffuse large B-cell lymphoma (DLBCL) of bilateral lacrimal glands and paranasal sinus following mucosa-associated lymphoid tissue (MALT) lymphoma of the lung. Bilateral DLBCL is rare in the literature, and only few cases of DLBCL in bilateral lacrimal gland are reported. A 71-year-old male presented with bilateral, slowly enlarging, and swelling of both eyelids. Computed tomography scan images showed bilateral symmetric, hyperdense, circumferential masses over lacrimal glands occupying most of the orbital compartment. Neither optic nerve involvement nor adjacent orbital walls erosion was noted. Bilateral excisional biopsy and pathological examination confirmed the diagnosis of DLBCL. Since DLBCL of bilateral lacrimal gland can occur in case of systemic MALT lymphoma, excision and pathological examination is mandatory, and further metastatic workup is essential.


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    -  Huang CH
    -  Kung WH
    -  Chang CH
    -  Wang CY
    -  Lin CH
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