AI Article Synopsis

  • A 72-year-old man with chronic hepatitis B virus infection developed bilateral proptosis (eye bulging) and some restricted eye movement over nine months.
  • Imaging studies revealed well-defined masses in the orbits, affecting the lateral rectus muscles and conforming to the shape of the eyeball.
  • Biopsy confirmed the diagnosis of mucosa-associated lymphoid tissue (MALT) lymphoma, suggesting a possible link between this type of lymphoma and chronic HBV infection.

Article Abstract

Purpose: To report a case of marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) in the bilateral orbit with chronic hepatitis B virus (HBV) infection.

Observations: A 72-year-old man with chronic HBV infection presented with a bilateral proptosis with slight restriction of ocular motility for 9 months. Computed tomographic images showed well-defined, isodense masses in the bilateral superolateral orbit. Magnetic resonance images showed isointense on T1-and hyperintense on T2-weighted images, with bilateral involvements of the lateral rectus muscles reaching the superior orbital fissures. These masses molded along the globe contour. Incisional biopsies via upper eyelid crease were performed on both lesions. The immunohistopathological diagnosis was MALT lymphoma.

Conclusions And Importance: This case showed a possible association between orbital MALT lymphoma and HBV.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722134PMC
http://dx.doi.org/10.1016/j.ajoc.2017.05.002DOI Listing

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