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患者女,43岁,因“右鼻腔T细胞淋巴瘤”行鼻腔,副鼻窦手术后2年,术后化疗2次,放疗1次。2个月前出现右眼视矇伴眼胀痛,视力进行性下降。体检:右眼混合充血,角膜内皮皱褶,晶体混浊,玻璃体清。心肺无异常,全身体表淋巴结未触及。超声生物显微镜检:右眼睫状体肿物。双眼MRI平扫及增强所示:右眼球内晶体右旁约1.0cm×0.5cm大小等T1等短T2信号影,Gd-DTPA增强后病灶明显异常对比强化。见图1～3。MRI诊断:右眼球异常信号,考虑为淋巴瘤眼球内转移。
Female patient, 43 years old, because of “right nasal T-cell lymphoma” line nasal cavity, paranasal sinus surgery 2 years after surgery, chemotherapy 2 times, radiotherapy 1 times. 2 months ago, the right eye as a result of eye pain with eye pain, visual acuity decreased. Physical examination: mixed right eye congestion, corneal endothelial folds, crystal opacity, vitreous clear. No abnormal heart and lung, body surface lymph nodes not touched. Ultrasound biomicroscopy: right eye ciliary body mass. Both eyes MRI scan and enhancement shown: the right eye intraocular lens right about 1.0cm × 0.5cm size T1 and other short T2 signal shadow, enhanced Gd-DTPA lesions significantly enhanced contrast. See Figure 1 ~ 3. MRI diagnosis: Right eyeball abnormal signal, considered as lymphoid eyeball metastasis.