眶内假性淋巴瘤转化为恶性淋巴瘤

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患者王×男72岁发现右眼眶上方长一包块1个多月,于85年12月9日入院。1个月前,发现右眼眶上缘有一包块,约蚕豆大小,无红肿,不痛,无视物模糊。以后,包块逐渐长大。入院全身检查未见异常。右眼视力0.8,眶上缘可触及2.0×2.0×0.5cm 肿块,质中等,无压痛,边缘清楚,可活动,眼球上转受限。左眼未见异常。入院诊断:右眼眶内肿瘤(性质待查)。用抗生素及皮质类固醇治疗1周后,肿块无缩小。于85年12月17日行前路右眼眶内肿瘤探查,术中见眶上缘内有一2.0×2.0×0.8cm 肿块,呈灰红色,有包膜。钝性分离后完整摘除肿块。病理检查为大量增生淋巴细胞并有少数间织细胞,淋 Wang Wang, a 72-year-old patient, was found to have a mass on his right eyelid for more than one month. He was admitted to hospital on December 9, 1985. One month ago, it was found that there was a mass in the upper edge of the right eyelid. It was about the size of broad bean, no redness, no pain, and no blurring. Later, the masses gradually grew up. Admission to the body was normal. The visual acuity of the right eye was 0.8. The upper edge of the fistula touched a 2.0×2.0×0.5 cm mass, which was of moderate quality. There was no tenderness, the edge was clear, and the eyelid was movable. No abnormality was found in the left eye. Admission diagnosis: right orbital orbital tumor (nature). One week after treatment with antibiotics and corticosteroids, there was no shrinkage of the lumps. On December 17, 2010, the tumor in the orbital orbit of the right eye was examined. During the operation, there was a 2.0×2.0×0.8 cm mass in the upper edge of the fistula, showing a grayish red color with an envelope. After blunt dissection, the tumor was completely removed. The pathological examination was a large number of proliferating lymphocytes with a few interstitial cells.
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