PMC3306071_01
Cranial CT scan of the patient with right sided forehead and ocular adnexal mass showing normal ocular dimensions without any intracranial connection.
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He underwent cranial computed tomography (CT) scanning which showed that the mass had no intracranial connection or extension and that the eyeball was intact (Fig. 1).
The patient with massive right sided forehead and ocular adnexal mass after incisional biopsy.
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The right eyeball could not be visualized (Fig. 2).
Histologic section shows small lymphocytes with mildly pleomorphic vesicular nuclei, arranged diffusely.
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Histology of the biopsy specimen disclosed sections of neoplastic tissue made up of small lymphocytes with mildly pleomorphic vesicular nuclei, arranged diffusely; most had plasmacytoid nuclei (Fig. 3).
The same patient after the second course of chemotherapy; considerable reduction occurred in the size of the adnexal mass.
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TDS). The mass was considerably reduced in size after the second course of chemotherapy (Fig. 4); after six courses it resolved completely, leaving a ptotic upper eyelid and a phthisical eyeball.