T-CELL MALIGNANT-LYMPHOMA WITH CONJUNCTIVAL INVOLVEMENT

PURPOSE: To report a rare case of T-cell malignant lymphoma involving the conjunctiva. METHODS: A 63-year-old woman had rapid onset of bilat eral perilimbal congestion and chemosis. Perilimbal thickening with co rneal infiltration developed 20 days later. Computed tomography incide ntally disclosed a right maxillary sinus mass. Biopsy specimens from t he maxillary sinus mass and the left limbus were subjected to histopat hologic examination and immunohistochemical study. RESULTS: T-cell mal ignant lymphoma of diffuse large cell type, stage IV, was diagnosed. T he patient was treated with combination chemotherapy plus 13-cis-retin oic acid and remained in remission 1 1/2 years after diagnosis. CONCLU SION: Conjunctival involvement with T-cell lymphoma may present as epi scleritis and chemosis. (C) 1998 by Elsevier Science Inc. All rights r eserved.