A Case of Acute Lymphoblastic Leukemia with Orbital Relapse.

Huh, Jun Seok; Kim, Byung Jin; Lee, Ha Bum

Case Report

Journal of the Korean Ophthalmological Society 2002;43(5):905-912.
Published online May 1, 2002.

A Case of Acute Lymphoblastic Leukemia with Orbital Relapse.

Department of Opahthalmology, College of Medicine, Kangdong Sacred Heart Hospital, Hallym University, Korea. feeloph@hanmir.com

안와에 재발한 급성 임프아세포성 백혈병 1예

허준석 ( Jun Seok Huh ) , 김병진 ( Byung Jin Kim ) , 이하범 ( Ha Bum Lee )

Abstract

PURPOSE
Acute lympholastic leukemia is common in children but, rare in adults. Authors experienced a case of acute lympholastic leukemia with orbital relapse in adult, and we report this case with literature review. METHODS: A fifty-year-old woman complained of left eye pain and proptosis for 7 days. The superio-lateral subconjunctival mass excision and biopsy were performed and evisceration was done. The pathologic findings showed the lymphoblastic leukemia. Immunohistochemistry showed the original precursor T-lineage acute lymphoblastic leukemia. RESULTS: The mass was enlarged 40 days after surgery with pain, and subsided after radiation therapy. We recommended systemic chemotherapy, but she refused the therapy. She died 6months after surgery with systemic relapse.

Key Words: Acute lymphoblastic leukemia;Orbital relapse