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Klin Monbl Augenheilkd 1997; 210(1): 62-64
DOI: 10.1055/s-2008-1035016
Diagnostisches Forum

© 1997 F. Enke Verlag Stuttgart

Kutanes T-Zell-Lymphom vom Typ der Mycosis fungoides im Bereich des Lides und des Tränenweges

Cutaneous T-cell-lymphoma (CTCL) of the Mycosis Fungoides Type in the Lid and Lacrimal Sac AreaHassane Aaliouet1 , Jens Martin Rohrbach1 , Thomas-Michael Wohlrab1 , Hans-Peter Horny2 , Karsten Sönnichsen3
  • 1Universitäts-Augenklinik, Abteilung I (Allgemeine Augenheilkunde mit Poliklinik; Ärztlicher Direktor: Prof. Dr. H.-J. Thiel)
  • 2Pathologisches Institut der Universität (Ärztlicher Direktor: Prof. Dr. B. Bültmann)
  • 3Universitäts-Hautklinik (Ärztlicher Direktor: Prof. Dr. G. Rassner)
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Publication History

Manuskript eingereicht am 16.05.1996

in der vorliegenden Form angenommen am 17.06.1996

Publication Date:
08 February 2008 (online)

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Summary

Patient A 62-year-old former miner with silicosis of the lungs but otherwise in good general condition presented with a solid nodule in the nasal left lid area for a duration of three months Because of a central ulceration the reference diagnosis was basalioma. The tumour infiltrated the nasal part of the upper and lower eyelid and the tear ducts so that these were unrinseable. Similar lesions have been present since two years in other skin regions.

Methods Two cutaneous biopsies confirmed the diagnosis of a Mycosis fungoides without detectable expression of the CD30-antigen. Medical investigation finally revealed hepatosplenomegaly and cervical, inguinal and abdominal lymph node involvement. A lymph node biopsy three months after presentation again showed a T-cell-lymphoma which was CD30-positive now.

Therapy Systemic polychemotherapy was started. The lid lesions completely resolved, and the tear ducts were rinseable again.

Schlüsselwörter

Mycosis fungoides - kutanes T-Zell-Lymphom - CD30-Antigen - Lidtumor - Tränenwege

Key words

Mycosis fungoides - cutaneous T-cell-lymphoma - CD30-antigen - lid tumour - tear ducts

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