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A 72-year-old man presented with a 2-year history of gradually progressive swelling of the upper eyelids (Fig. 1). Physical examination revealed swollen nontender eyelids, enlarged submandibular and parotid glands, and… Click to show full abstract
A 72-year-old man presented with a 2-year history of gradually progressive swelling of the upper eyelids (Fig. 1). Physical examination revealed swollen nontender eyelids, enlarged submandibular and parotid glands, and enlarged neck lymphadenopathy. T2-weighted magnetic resonance images showed enlargement of both lacrimal glands (Fig. 2). Excisional biopsy of the eyelid exhibited mantle cell lymphoma. Fluorodeoxyglucose positron emission tomography revealed abnormal uptake in the axillary and inguinal lymph nodes and stomach wall. A diagnosis of Ann Arbor stage IV mantle cell lymphoma was made.
Journal Title: Journal of General Internal Medicine
Year Published: 2019
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