Pediatric Subcutaneous Panniculitis-like T-cell Lymphoma of the Orbit. Issue 2 (March 2022)

• Record Type: Journal Article
• Authors: Tong, Jessica Y.; Powys, Madeleine; Phan, Tracey; Krivanek, Michael; Kellie, Stewart J.; Tumuluri, Krishna
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 38:Issue 2(2022)
• Publication Date: 2022-03
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000002075
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare and distinct subtype of peripheral T-cell lymphoma, representing <1% of all non-Hodgkin lymphomas. SPTCL usually arises in the fourth decade of life with multifocal involvement of the limbs and trunk. Orbital disease is uncommon. We present the youngest known case of orbital SPTCL in a 3-year-old child, where the diagnosis was initially confounded by a lower eyelid mass masquerading as preseptal cellulitis. MRI revealed a poorly defined anterior orbital mass. Immunophenotyping and histological analysis of an orbital biopsy specimen confirmed SPTCL, which was managed by the pediatric oncology team with multiagent chemotherapy. This case is unique due to the young age of presentation and primary orbital involvement. Nonresolving or atypical periorbital cellulitis needs to be investigated, as malignancy can mimic such conditions. Abstract : A young child presented with eyelid swelling suggestive of preseptal cellulitis, although refractory to antibiotic therapy; immunophenotyping and histological analysis of orbital tissue confirmed subcutaneous panniculitis-like T-cell lymphoma, a rare subtype of peripheral T-cell lymphoma.