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Case study orbital lymphoma
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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.
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Occasional headaches, no B symptoms
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Past Medical History: nil relevant
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O/E 4 x 3cm superior orbital mass on the right hand side. On the left
supero-orbital ridge a 2 x 1cm lump.
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CT Head , neck , thorax and abdomen – disease isolated to orbits only
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BM trephine biopsy – no involvement