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題 名 | Ptosis as an Initial Manifestation of Orbital Lymphoma: A Case Report=以眼瞼下垂為最初表現的眼窩淋巴瘤之病例報告 |
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作 者 | 徐敏文; 鍾佳宏; 張丞賢; 胡佩欣; 徐旭亮; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 22:4 民95.04 |
頁 次 | 頁194-198 |
分類號 | 416.75 |
關鍵詞 | 眼瞼下垂; 眼窩淋巴瘤; Orbital lymphoma; Ptosis; |
語 文 | 英文(English) |
中文摘要 | 眼窩淋巴瘤臨床上單獨以眼瞼下垂為表現並不常見,通常以伴隨著腫塊的凸眼、複視、結膜鮭魚樣色紅腫為表現。我們提出一位 62 歲女性病例最初僅以右眼眼瞼下垂為臨床表現,初期影像學檢查僅有不明顯之上直肌及提眼瞼肌肥大,持續追蹤數個月後,眼瞼下垂及眼球向上運動受限進一步惡化,此時影像檢查呈現出明顯眼窩腫塊,手術後病理學檢查確診為眼窩淋巴瘤。根據此病例,我們建議臨床上患者單獨出現提眼瞼肌失能的眼瞼下垂,眼窩淋巴瘤應為可能診斷之一。 |
英文摘要 | Ptosis on its own is an infrequent initial manifestation of orbital lymphoma. Orbital lymphoma usually presents as a palpable mass with proptosis, diplopia, and conjunctival (“salmon-pinkâ€) swelling. We report here a 62-year-old female patient who presented with right eye ptosis. The initial imaging study showed an indistinct enlargement of the superior rectus–levator muscle complex. After 3–4 months, ptosis and upward gazing movement were further restricted. The imaging study revealed a definite soft-tissue mass in the superior orbit surrounding the superior rectus–levator muscle complex. A tumor biopsy through anterior orbitotomy revealed a large diffuse B-cell lymphoma. With the experience of this case, we suggest that orbital lymphoma should be included in the differential diagnosis of ptosis accompanied by impairment of levator muscle function. |
本系統中英文摘要資訊取自各篇刊載內容。