Ocular Adnexal Lymphoma Misdiagnosed as Myelodysplastic Syndrome ND03-ND05
Sonali Vinay Kumar,
AHRR, Delhi Cantt, Delhi, India.
Systemic lymphoma can have a varied presentation which can mislead physician resulting in wrong diagnosis. Lymphoma, when involves bone marrow, results in deranged blood picture as production of blood cells is affected. A 55-year-old patient presented with occipital headache since two and a half years and protrusion of both eyes, since two years. Patient was initially diagnosed of Myelodysplastic syndrome as he was found to have deranged blood picture and was advised observation. Ophthalmic consultation was sought and he was subjected to conjunctival incision biopsy. Histopathology showed features suggestive of extranodal marginal zone lymphoma. Tissue biopsy played a crucial role for definitive diagnosis and patient was started on treatment. Patient responded to treatment and has recovered. So, lymphoma should be considered as a differential diagnosis whenever patient presents with altered blood picture associated with a lesion in eye.