The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Right orbital mass

Photo by Professor Chua Chung Nen

This 65 year-old man presented with a rapidly progressing left proptosis. The CT scan showed an orbital mass occupying most of the inferior orbit. He had no medical history of note and an ENT examination showed no signs of nasopharyngeal carcinoma or other tumours. The chest X-ray was normal. A transcutaneous biopsy showed a white mass. Histopathology showed the mass to be non-Hodgkin's lymphoma. He was referred to the oncologist for further treatment.

 

A right non-axial proptosis (the globe is displaced superiorly).

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Side view of the right proptosis.

 

Axial view showing a left inferior orbital mass.

 

Coronal view showing a large inferior orbital mass.

 

Another coronal view of the lesion.

 

Transcutaneous biopsy exposed the orbital lession as white homogenous mass.

 

A piece of the mass was removed and sent for histology.

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