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KMID : 0360220150560030458
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Journal of the Korean Ophthalmological Society
2015 Volume.56 No. 3 p.458 ~ p.462
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Secondary Choroidal Lymphoma Associated with Systemic Choroidal Lymphoma
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Kang Sun-Hee
Kim Byung-Moon
Kim Yun-Young
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Abstract
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Purpose: To report a case of secondary choroidal lymphoma.
Case summary: A 57-year-old female presented at our clinic with decreased vision in her right eye 1 month in duration. Slit-lamp examination showed vitreous cells in the right eye. Fundus examination of the right eye revealed an elevated yellowish mass-like lesion at the temporal area and multifocal yellowish patches at the choroidal level. The clinical impression was intraocular lymphoma. We performed diagnostic vitrectomy, but the result was negative. A systemic evaluation revealed enlarged cervical lymph nodes and lymph node biopsy showed diffuse large B-cell lymphoma. The patient was diagnosed as secondary choroidal lymphoma associated with systemic lymphoma and was treated with systemic chemotherapy and 4 injections of intravitreal methotrexate. The patient is scheduled for regular follow-ups.
Conclusions: Choroidal mass may be the initial presenting sign of systemic lymphoma, and an extensive systemic evaluation should be performed.
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KEYWORD
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Secondary choroidal lymphoma, Systemic lymphoma
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