J Korean Ophthalmol Soc > Volume 51(2); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(2):286-291.
DOI: https://doi.org/10.3341/jkos.2010.51.2.286    Published online February 15, 2010.
Orbital Apex Syndrome with Nasal Type Natural Killer(NK)/T-cell Lymphoma of Sphenoid and Ethmoid Sinus.
Seung Hwa Baik, Dong Ju Yeom, Yun Kyung Kang, Mi Sun Sung, Sang Woong Moon
1Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. ophmoon@hanmail.net
2Department of Pathology, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
3Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
접형동, 사골동의 비강형 자연살해/T 세포 림프종에 의한 안와첨증후군 1예
백승화1ㆍ염동주1ㆍ강윤경2ㆍ성미선3ㆍ문상웅1
Department of Ophthalmology, Seoul Paik Hospital, Inje University College of Medicine1, Seoul, Korea Department of Pathology, Seoul Paik Hospital, Inje University College of Medicine2, Seoul, Korea Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine3, Seoul, Korea
Abstract
PURPOSE
To report a case of nasal-type NK/T cell lymphoma occurring in the sphenoid and ethmoid sinuses of an orbital apex syndrome patient. CASE SUMMARY: A 61-year-old male patient visited our hospital for the impairment of vision in the right eye for the previous month, and for right-side blepharoptosis, pain around the eyeball, and limitation of extraocular movement in the right eye for three days earlier. In MRI (magnetic resonance image) and CT (computed tomography), shades with vague boundaries were observed in the right sphenoid and ethmoid sinuses, and open biopsy and decompression were performed for the lesions. After the surgery, the vision of the right eye increased, and improvement was observed in the right blepharoptosis, the pain around the eyeball, and in the limitation of motility of the extraocular muscle in the right eye. The patient was diagnosed with nasal type NK/T cell lymphoma in biopsy, and radiotherapy and chemotherapy were performed.
Key Words: Nasal type NK/T-cell lymphoma;Orbital apex syndrome;Sphenoid and ethmoid sinus


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