Skip to main content
Log in

Primary Ocular Adnexal Lymphoma in Pediatric Patients: Report of Two Cases and Review of the Literature

  • Case Reports
  • Published:
Pediatric and Developmental Pathology

Abstract

Primary ocular adnexal lymphoma (POAL) is a rare extranodal lymphoma. The mucosa-associated lymphoid tissue (MALT) subtype predominates and primarily occurs after the sixth decade of life. Most studies of ocular adnexal lymphoma are from the adult population. The data and experience in pediatric patients with POAL are limited to a few cases reported in the literature. Here we describe two pediatric cases of POAL and review the literature to further help characterize the clinical features and histopathologic appearance of this uncommon lymphoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.

REFERENCES

  1. M Cahill C Barnes P Moriarty P Daly S Kennedy (1999) ArticleTitleOcular adnexal lymphoma—comparison of MALT lymphoma with other histological types. Br J Ophthalmol 83 742–747 Occurrence Handle1:STN:280:DC%2BD3c%2Fgt1Smtw%3D%3D Occurrence Handle10340987

    CAS  PubMed  Google Scholar 

  2. JS Hahn CO Suh SY Lee WI Yang (1998) ArticleTitlePrimary lymphoma of the eye. Yonsei Med J 39 196–201 Occurrence Handle1:STN:280:DyaK1czivFGhtA%3D%3D Occurrence Handle9664823

    CAS  PubMed  Google Scholar 

  3. SA Lauer (2000) ArticleTitleOcular adnexal lymphoid tumors. Curr Opin Ophthalmol 11 361–366 Occurrence Handle10.1097/00055735-200010000-00013 Occurrence Handle1:STN:280:DC%2BD3M%2FgvVKgsQ%3D%3D Occurrence Handle11148704

    Article  CAS  PubMed  Google Scholar 

  4. C Freeman JW Berg SJ Cutler (1972) ArticleTitleOccurrence and prognosis of extranodal lymphomas. Cancer 29 252–260 Occurrence Handle1:STN:280:CS2D1c%2FosFw%3D Occurrence Handle5007387

    CAS  PubMed  Google Scholar 

  5. NL Harris ES Jaffe H Stein et al. (1994) ArticleTitleA revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood 84 1361–1392 Occurrence Handle1:STN:280:ByuA2cfgsFM%3D Occurrence Handle8068936

    CAS  PubMed  Google Scholar 

  6. ES Jeffe NL Harris H Stein JW Vardiman (2001) Pathology and Genetics, Tumors of Haematopoietic and Lymphoid Tissues. IARC Press Lyon, France

    Google Scholar 

  7. Ferry J, White W, Grove A, Harris NL (1992) “Malignant lymphoma of ocular adnexa: a spectrum of B-cell neoplasia including low grade B-cell lymphoma of MALT type (abstract 450)” Mod. Pathol. 5: 77A

  8. SE Coupland L Krause HJ Delecluse et al. (1998) ArticleTitleLympoproliferative lesions of the ocular adnexa: analysis of 112 cases. Ophthalmology 105 1430–1441 Occurrence Handle1:STN:280:DyaK1cznsFCrtw%3D%3D Occurrence Handle9709754

    CAS  PubMed  Google Scholar 

  9. C Auw-Haedrich SE Coupland A Kapp A Schmitt-Graff R Buchen H Witschel (2001) ArticleTitleLong term outcome of ocular adnexal lymphoma subtyped according to the REAL classification. Br J Ophthalmol 85 63–69 Occurrence Handle10.1136/bjo.85.1.63 Occurrence Handle1:STN:280:DC%2BD3M7isFCmug%3D%3D Occurrence Handle11133714

    Article  CAS  PubMed  Google Scholar 

  10. M Nakata Y Matsuno N Katsumata et al. (1999) ArticleTitleHistology according to the Revised European-American Lymphoma Classification significantly predicts the prognosis of ocular adnexal lymphoma. Leuk Lymphoma 32 533–543 Occurrence Handle1:STN:280:DyaK1M7ls1Wksw%3D%3D Occurrence Handle10048426

    CAS  PubMed  Google Scholar 

  11. PM Chen TJ Chiou IT Yu et al. (2001) ArticleTitleMolecular analysis of mucosa-associated lymphoid tissue (MALT) lymphoma of ocular adnexa. Leuk Lymphoma 42 207–214 Occurrence Handle1:CAS:528:DC%2BD3MXmtVOgsb0%3D Occurrence Handle11699208

    CAS  PubMed  Google Scholar 

  12. PM Chen JH Liu IT Yu et al. (2000) ArticleTitleLack of mutations of BCL6 and BCL10 genes in mucosa-associated lymphoid tissue lymphomas of the orbital adnexa. Cancer Genet Cytogenet 123 44–48 Occurrence Handle10.1016/S0165-4608(00)00298-3 Occurrence Handle1:CAS:528:DC%2BD3cXovFelsr8%3D Occurrence Handle11120333

    Article  CAS  PubMed  Google Scholar 

  13. C Jenkins GE Rose C Bunce et al. (2000) ArticleTitleHistological features of ocular adnexal lymphoma (REAL classification) and their association with patient morbidity and survival. Br J Ophthalmol 84 907–913 Occurrence Handle10.1136/bjo.84.8.907 Occurrence Handle1:STN:280:DC%2BD3cvhslCkuw%3D%3D Occurrence Handle10906102

    Article  CAS  PubMed  Google Scholar 

  14. PA McKelvie A McNab IC Francis R Fox J O’Day (2001) ArticleTitleOcular adnexal lymphoproliferative disease: a series of 73 cases. Clin Exp Ophthalmol 29 387–393 Occurrence Handle10.1046/j.1442-9071.2001.00450.x Occurrence Handle1:STN:280:DC%2BD38%2Fltlajsg%3D%3D

    Article  CAS  Google Scholar 

  15. LJ Medeiros DC Harmon RM Linggood NL Harris (1989) ArticleTitleImmunohistologic features predict clinical behavior of orbital and conjunctival lymphoid infiltrates. Blood 74 2121–2129 Occurrence Handle1:STN:280:By%2BD38fnsVY%3D Occurrence Handle2804350

    CAS  PubMed  Google Scholar 

  16. DM Knowles FA Jakobiec L McNally JS Burke (1990) ArticleTitleLymphoid hyperplasia and malignant lymphoma occurring in the ocular adnexa (orbit, conjunctiva, and eyelids): a prospective multiparametric analysis of 108 cases during 1977 to 1987. Hum Pathol 21 959–973 Occurrence Handle1:STN:280:By%2BA28fgs1I%3D Occurrence Handle2394438

    CAS  PubMed  Google Scholar 

  17. Jakobiec FA, McLean I, Font RL (1979) “Clinicopathologic characteristics of orbital lymphoid hyperplasia” Ophthalmology 86: 948–966

    Google Scholar 

  18. M Du TC Diss C Xu H Peng PG Isaacson L Pan (1996) ArticleTitleOngoing mutation in MALT lymphoma immunoglobulin gene suggests that antigen stimulation plays a role in the clonal expansion. Leukemia 10 1190–1197 Occurrence Handle1:STN:280:BymB1czlvV0%3D Occurrence Handle8684001

    CAS  PubMed  Google Scholar 

  19. E Polito P Galieni A Leccisotti (1996) ArticleTitleClinical and radiological presentation of 95 orbital lymphoid tumors. Graefes Arch Clin Exp Ophthalmol 234 504–509 Occurrence Handle1:STN:280:ByiD3M7jsVI%3D Occurrence Handle8858356

    CAS  PubMed  Google Scholar 

  20. T Mannami T Yoshino K Oshima et al. (2001) ArticleTitleClinical, histopathological, and immunogenetic analysis of ocular adnexal lymphoproliferative disorders: characterization of MALT lymphoma and reactive lymphoid hyperplasia. Mod Pathol 14 641–649 Occurrence Handle1:STN:280:DC%2BD3Mvgtlyrug%3D%3D Occurrence Handle11454995

    CAS  PubMed  Google Scholar 

  21. VV Joshi GA Gagnon EG Chadwick et al. (1997) ArticleTitleThe spectrum of mucosa-associated lymphoid tissue lesions in pediatric patients infected with HIV: a clinicopathologic study of six cases. Am J Clin Pathol 107 592–600 Occurrence Handle1:STN:280:ByiB2svht1E%3D Occurrence Handle9128273

    CAS  PubMed  Google Scholar 

  22. J Teruya-Feldstein BK Temeck MM Sloas et al. (1995) ArticleTitlePulmonary malignant lymphoma of mucosa-associated lymphoid tissue (MALT) arising in a pediatric HIV-positive patient. Am J Surg Pathol 19 357–363 Occurrence Handle1:STN:280:ByqC2sjivVw%3D Occurrence Handle7872434

    CAS  PubMed  Google Scholar 

  23. CA Griffin BA Zehnbauer WE Beschorner R Ambinder R Mann (1992) ArticleTitlet(11;18)(q21;q21) is a recurrent chromosome abnormality in small lymphocytic lymphoma. Genes Chromosomes Cancer 4 153–157 Occurrence Handle1:STN:280:By2B38zgtFE%3D Occurrence Handle1373316

    CAS  PubMed  Google Scholar 

  24. AC Wotherspoon LX Pan TC Diss PG Isaacson (1992) ArticleTitleCytogenetic study of B-cell lymphoma of mucosa-associated lymphoid tissue. Cancer Genet Cytogenet 58 35–38 Occurrence Handle10.1016/0165-4608(92)90130-Z Occurrence Handle1:STN:280:By2C3czmtV0%3D Occurrence Handle1728948

    Article  CAS  PubMed  Google Scholar 

  25. J Dierlamm M Baens I Wlodarska et al. (1999) ArticleTitleThe apoptosis inhibitor gene API2 and a novel 18q gene, MAT, are recurrently rearranged in the t(11;18)(q21;q21) associated mucosa-associated lymphoid tissue lymphoma. Blood 93 3601–3609 Occurrence Handle10339464

    PubMed  Google Scholar 

  26. Q Zhang R Siebert M Yan et al. (1999) ArticleTitleInactivating mutations and overexpression of BCL10, a caspase recruitment domain-containing gene, in MALT lymphoma with t(1;14)(p22;q32). Nat Genet 22 63–68 Occurrence Handle1:CAS:528:DyaK1MXjtVags7k%3D

    CAS  Google Scholar 

  27. JKC Chan CS Ng PG Isaacson (1990) ArticleTitleRelationship between high-grade lymphoma and low-grade B-cell mucosa-associated lymphoid tissue lymphoma (MALToma) of the stomach. Am J Pathol 136 1153–1164

    Google Scholar 

  28. D de Jong H Boot P van Heerde GA Hart BG Taal (1997) ArticleTitleHistological grading in gastric lymphoma: pretreatment criteria and clinical relevance. Gastroenterology 112 1466–1474

    Google Scholar 

  29. WL White JA Ferry NL Harris AS Grove Jr (1995) ArticleTitleOcular adnexal lymphoma: a clinicopathologic study with identification of lymphomas of mucosa-associated lymphoid tissue type. Ophthalmology 102 1994–2006

    Google Scholar 

  30. Campo E, Jaffe ES (2002) (Abstract). Ann Oncol 13(Suppl 2): 6

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiayuan Liang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Liang, X., Stork, L. & Albano, E. Primary Ocular Adnexal Lymphoma in Pediatric Patients: Report of Two Cases and Review of the Literature . Pediatr. Dev. Pathol. 6, 458–463 (2003). https://doi.org/10.1007/s10024-003-1003-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10024-003-1003-7

Keywords

Navigation