Publications by authors named "Penelope A McKelvie"

Article Synopsis
  • - Calcification in pleomorphic adenomas of the lacrimal gland is rare and more common in lacrimal gland cancers, while bony formation (ossification) is even less frequent.
  • - Occurrences of extensive sclerosis and ossification may indicate a higher risk of cancer transformation, but these changes can sometimes be mistaken for malignant conditions, confusing diagnosis.
  • - Two case reports are discussed where patients with presumed pleomorphic adenomas showed histopathological signs of ossification and necrosis, yet no evidence of malignancy or invasive disease was found.
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Aims: To examine whether the specific location of ocular adnexal lymphoma (OAL) and the American Joint Committee on Cancer (AJCC) TNM tumour stage are prognostic factors for mortality in the main OAL subtypes.

Methods: Clinical and survival data were retrospectively collected from seven international eye cancer centres. All patients from 1980 to 2017 with histologically verified primary or secondary OAL were included.

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Article Synopsis
  • - Lymphoma is the most common type of cancer found in the orbit (the eye area) and usually shows up as swelling or bulging of the eye (proptosis), requiring imaging and a biopsy to confirm.
  • - A rare case is described where a patient had bilateral enophthalmos (sunken eyes) and symptoms of secondary entropion (inward-turning eyelids) caused by bilateral non-Hodgkin's lymphoma, leading to a buildup of abnormal B cells in the orbital fat.
  • - Treatment included low-dose radiation directed at the orbit and surgery for the entropion, which successfully alleviated the patient's symptoms.
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Purpose: Orbital amyloidosis of the extraocular muscles (EOMs) is a rare condition, and its clinicoradiological features are not well elucidated. This study describes the characteristic clinical signs, MRI features, and potential treatment options.

Methods: Retrospective multicenter case series and literature review of EOM amyloidosis.

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Article Synopsis
  • Chronic lymphocytic infiltration with pontine perivascular enhancement responsive to steroids (CLIPPERS) is a neuro-inflammatory condition connected to lymphoproliferative disorders, and its link to Epstein-Barr Virus (EBV)-related lymphomatoid granulomatosis (LYG) is still not fully understood.* -
  • A case study of a 75-year-old man showed a progression from CLIPPERS to EBV-related LYG, revealing EBV in his cerebrospinal fluid (CSF) and unusual imaging results, leading to a brain biopsy diagnosis.* -
  • The study suggests the need for EBV testing in CSF for patients with suspected CLIPPERS and emphasizes early brain biopsy and
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Lacrimal gland pleomorphic adenomas (LGPA) are benign mixed tumors. Diagnosis is based on clinical and radiological findings which usually prompts complete excision of the lesion to minimise recurrence and a cumulative risk of malignant transformation. Necrosis in pleomorphic adenoma has been rarely reported in salivary gland PA, either spontaneously or due to iatrogenic interventions.

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Mixed tumour of the skin is a rare entity also known as chondroid syringoma and pleomorphic adenoma. These usually present as slow-growing skin nodules with a smooth surface, clear boundaries, and no ulceration. Case series exist describing pleomorphic adenomas in the periocular region including the lids and orbit, separate to the more familiar lacrimal gland pleomorphic adenoma.

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Purpose: To report the histologic and clinical features of idiopathic orbital myositis (IOM) patients who underwent extraocular muscle (EOM) biopsy over 20 years, to provide the first methodical reference to the expected histopathologic findings, and to discuss the histopathologic differences from common differential diagnoses.

Design: Cohort study.

Participants: All patients with a diagnosis of IOM who underwent EOM biopsy from 2000 through 2019 were included.

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In 1991, Genta and Haggitt described four patients with segmental ischemic colitis caused by idiopathic myointimal hyperplasia in the small mesenteric veins (IMHMV). There are now 33 published cases of IMHMV in the literature; however, this condition is still sufficiently rare that it poses a diagnostic challenge to pathologists and clinicians and is often clinically or histologically confused with inflammatory bowel disease (IBD) or ischemic colitis. IMHMV is characterized by intimal smooth muscle hyperplasia resulting in thickened small and medium-sized mesenteric veins (with arterial sparing).

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Purpose: To describe the clinicopathological features and report the outcomes of treatment in lymphoma involving the extraocular muscles (EOM), the largest reported case-series.

Methods: A retrospective case series of patients with lymphoma involving the EOM from a single tertiary referral orbital center, between March 1992 and March 2018. Patients with other histopathologic diagnoses or who did not have an EOM biopsy were excluded.

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Backgrounds/aims: To date, this is the largest cohort study on extranodal marginal zone B-cell lymphoma (EMZL) of the ocular adnexa (OA). The aim of the study was to characterise the clinical features of OA-EMZL.

Methods: A retrospective multicentre study involving seven international eye cancer centres.

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A 68-year-old female presented for assessment of a space occupying lesion of her right orbit, demonstrated on MRI. An upper lid crease anterior orbitotomy was performed and the lesion excised completely. Postoperatively, she had reduced sensation in the distribution of the supraorbital nerve.

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Purpose: To investigate and characterize the clinical features of subtype-specific orbital lymphoma.

Design: Retrospective, interventional case series.

Methods: The study included 7 international eye cancer centers.

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Aims: To review the distribution of pathology in extraocular muscle (EOM) biopsies performed at a tertiary orbital centre, identify clinical and imaging features which are associated with benign or malignant diseases and indicate when biopsy is necessary for EOM enlargement.

Methods: Retrospective case series including 93 patients with EOM enlargement who underwent an EOM biopsy. Clinical, radiological and histopathological information was recorded from the medical records.

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Purpose: To document subtype-specific clinical features of lymphoma of the eyelid, and their effect on patient outcome.

Design: Retrospective observational case series.

Methods: Patient data were collected from 7 international eye cancer centers from January 1, 1980 through December 31, 2015.

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Incidental cases of localized fibrin-associated Epstein-Barr virus (EBV)+ large B-cell proliferations have been described at unusual anatomic sites and have been included in the category of diffuse large B-cell lymphoma associated with chronic inflammation (DLBCL-CI) in the WHO Classification. We describe 12 cases and review the literature to define their clinicopathologic spectrum and compare features with typical cases of DLBCL-CI. Median age was 55.

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Aims: Extranodal NK/T cell lymphoma, nasal type (ENKTCL) is usually composed of medium- to large-sized lymphoid cells showing prominent angiotrophism and tumour cell necrosis. We report 13 cases composed predominantly of small lymphocytes diagnosed in the United States and Western Europe.

Methods And Results: Patients included seven females and six males aged 17-75 years.

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Introduction: Large Virchow-Robin (VR) spaces may mimic cystic tumor. The anterior temporal subcortical white matter is a recently described preferential location, with only 18 reported cases. Our aim was to identify unique MR features that could increase prospective diagnostic confidence.

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Aims: BRAF mutation has been shown in a large meta-analysis to be an independent prognostic marker for papillary thyroid carcinoma (PTC) with poorer survival and higher recurrence rates.

Methods: We studied prevalence of BRAF mutation in 77 patients with PTC from an Australian cohort using competitive polymerase chain reaction (C-PCR) and immunohistochemistry (IHC) with BRAF-specific antibody, VE1. Clinicopathological parameters, recurrence and mortality were analysed according to BRAF mutation status.

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Primary signet ring cell carcinoma of the eyelid (PSCE) is a very rare tumour. Only a few cases having been reported to date. The majority of patients have been middle-age to elderly men.

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Purpose: Fifteen cases of lymphocytic hypophysitis due to IgG4-related disease have been reported demonstrating marked improvement with corticosteroid therapy. This is the first case of IgG4-related hypophysitis demonstrating improvement with azathioprine, where corticosteroids were initially tried but ceased due to concern regarding enlargement of the pituitary infiltrate.

Methods: Case description and review of 15 cases reported in the literature.

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