Involvement of bilateral lacrimal gland in systemic Hodgkin disease

• Main Authors: Özlem Yalçın Tök, Levent Tök, Fatma Akbaş Kocaoğlu, Züleyha Yalnız, Firdevs Örnek
• Format: Article
• Language: English
• Published: Dicle University Medical School 2010-03-01
• Series: Dicle Medical Journal
• Subjects: Hodgkin disease; lacrimal gland; bilateral involvement; chemotherapy
• Online Access: http://4181.indexcopernicus.com/fulltxt.php?ICID=906165

Five percent (5%) of lacrimal gland tumors are originatedfrom lymphoid tissue. In one type of Hodgkin diseasewhich is abounding in lymphocytes, involvement of lacrimalgland is a rather rare entity.A 48 – year old woman who had swollen both eyelids,applied to department of oculoplasty in our clinic. At inspection,when eyelids were rotated, a mass was seenat the region which fits to bilateral lacrimal gland area.Magnetic resonance imaging of the orbita showed a welldemarcatedsoft tissue mass without invade adjacentstructure in the supero-lateral aspect of the bilateral orbit,occupying lacrimal gland. Lymphadenopathies in abdominal,cervical, inguinal, axillary regions have been found insystemic scanning. Biopsy of lacrimal gland and axillarylymphadenopahty were performed and histopathologicalexamination revealed the diagnosis as Hodgkin diseaseabounding in lymphocytes. The patient was underwentfour cure chemotherapy. Clinical and tomographic findingswere found to be regressed after treatment.