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Arch Soc Esp Oftalmol ; 78(3): 173-6, 2003 Mar.
Article in Spanish | MEDLINE | ID: mdl-12677496

ABSTRACT

CASE REPORT: We report the case of a patient who was surgically treated in his right eye because of an uncontrollable glaucoma and a retinal detachment without retinal break. Ultrasound and computed tomography showed diffuse choroidal thickening. During 6 years of follow-up, he developed a major ocular and orbitary invasion and bone marrow infiltration. He was treated by enucleation and chemotherapy with apparent total remission. DISCUSSION: Reactive lymphoid hyperplasia of the uvea consists of a lymphocytic proliferation that primarily involves the uveal tract. This process is regarded as a low malignant condition, but this case of late diagnosis showed a tendency to orbital and systemic extension.


Subject(s)
Choroid Diseases/pathology , Choroid Neoplasms/pathology , Glaucoma, Open-Angle/etiology , Lymphoma, B-Cell/pathology , Lymphoma, Non-Hodgkin/pathology , Pseudolymphoma/pathology , Retinal Detachment/etiology , Aged , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bone Marrow/pathology , Choroid Diseases/surgery , Choroid Neoplasms/drug therapy , Choroid Neoplasms/surgery , Cyclophosphamide/administration & dosage , Disease Progression , Doxorubicin/administration & dosage , Eye Enucleation , Glaucoma, Neovascular/etiology , Glaucoma, Open-Angle/surgery , Humans , Immunoglobulin kappa-Chains/blood , Lymphoma, B-Cell/blood , Lymphoma, B-Cell/drug therapy , Lymphoma, B-Cell/surgery , Lymphoma, Non-Hodgkin/blood , Lymphoma, Non-Hodgkin/drug therapy , Lymphoma, Non-Hodgkin/surgery , Male , Neoplasm Invasiveness , Orbital Neoplasms/secondary , Paraproteins , Prednisone/administration & dosage , Pseudolymphoma/surgery , Remission Induction , Retinal Detachment/surgery , Vincristine/administration & dosage
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