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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 2/2024

01-08-2023 | Lymphoma | Original Article

Ocular lymphoma: overcoming a diagnostic challenge with an endoscopic sinus approach

Authors: Alison McHugh, Jessica Wauchope, Stephen Kieran, Tom Moran, Fergal O’Duffy

Published in: Irish Journal of Medical Science (1971 -) | Issue 2/2024

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Abstract

Background

Ocular lymphomas are rare, indolent tumours that pose a diagnostic challenge. Patients may be asymptomatic or present with symptoms of increased orbital mass. An index of suspicion is required alongside an understanding of the diagnostics and staging required to facilitate expedited multi-disciplinary work-up and management.

Methods

A comprehensive literature review was performed. We present a series of three cases, each presenting their own diagnostic challenge.

Results

Although ocular lymphomas are notoriously difficult to diagnose histologically, our case series show procurement of a diagnostic histological sample using an image-guided endoscopic sinus approach.

Conclusions

Although not typically involved in the diagnosis or management, the otolaryngologist may encounter ocular lymphoma masquerading as sinus disease or with disseminated disease at other sites in the head and neck. Endoscopic sinus surgery is considered a safe, effective approach for achieving a histological diagnosis in these cases.
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Metadata
Title
Ocular lymphoma: overcoming a diagnostic challenge with an endoscopic sinus approach
Authors
Alison McHugh
Jessica Wauchope
Stephen Kieran
Tom Moran
Fergal O’Duffy
Publication date
01-08-2023
Publisher
Springer International Publishing
Published in
Irish Journal of Medical Science (1971 -) / Issue 2/2024
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-023-03460-0

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