Image Description
Ocular Adnexal Lymphomas - Clinical Features: Presenting symptoms include proptosis, ptosis, a visible mass, diplopia, tearing and pain or discomfort. Systemic symptoms are uncommon. Primary conjunctival lymphomas appear as a painless, slow-growing, salmon-colored fleshy patch or plaque (as shown in this image). Palpebral conjunctiva is more frequently involved than bulbar conjunctiva.
The lesions are soft, pliable and easily mold to the surrounding tissues causing few symptoms. An intact layer of conjunctival epithelium usually covers the lesion which may be slightly pebbly or multinodular. Most conjunctival lymphomas are localized (Stage IE) on presentation. A systemic component may be associated with lymphomas of the conjunctiva (20% of cases), orbit (35%) and eyelid (67%). Secondary conjunctival lymphomas are more rapid growing and represent conjunctival manifestations of a systemic disease.
The lesions are soft, pliable and easily mold to the surrounding tissues causing few symptoms. An intact layer of conjunctival epithelium usually covers the lesion which may be slightly pebbly or multinodular. Most conjunctival lymphomas are localized (Stage IE) on presentation. A systemic component may be associated with lymphomas of the conjunctiva (20% of cases), orbit (35%) and eyelid (67%). Secondary conjunctival lymphomas are more rapid growing and represent conjunctival manifestations of a systemic disease.