Document Detail


Two successive ocular malignancies in the same eye of a HIV-positive patient: a case report.
MedLine Citation:
PMID:  20370336     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report 2 successive ocular malignancies in the same eye of a HIV-positive patient at different CD4 counts. MATERIALS AND METHODS: A 36-year-old retrovirus-positive male presented with no perception of light in the left eye of 1 month duration. CD4 counts were 44 cells/mm(3). Ultrasonography showed an exudative retinal detachment. Retinal biopsy suggested an intraocular B-cell lymphoma for which he received radiotherapy and chemotherapy. He presented 3 years later with a growth in the left eye with CD4 counts of 360 cells/mm(3). RESULTS: Histopathology of enucleated eye showed a low-grade conjunctival squamous cell carcinoma. At 1-year follow-up, there is no mass in the anophthalmic socket. CONCLUSIONS: This case highlights the development of 2 ocular malignancies in the same eye of an HIV-positive patient, at different CD4 counts, allowing the authors to speculate on additional factors involved in the development of the second malignancy.
Authors:
Kalpana Babu; Krishna R Murthy; Subramanian Krishnakumar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ocular immunology and inflammation     Volume:  18     ISSN:  1744-5078     ISO Abbreviation:  Ocul. Immunol. Inflamm.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-07     Completed Date:  2010-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312169     Medline TA:  Ocul Immunol Inflamm     Country:  England    
Other Details:
Languages:  eng     Pagination:  101-3     Citation Subset:  IM    
Affiliation:
Vittala International Institute of Ophthalmology & Prabha Eye Clinic and Research Center, Bangalore, India. kb_7375@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Adult
Antineoplastic Combined Chemotherapy Protocols / administration & dosage
Blindness / drug therapy,  etiology,  pathology*
CD4 Lymphocyte Count
Carcinoma, Squamous Cell / drug therapy,  immunology,  pathology*
Cyclophosphamide / administration & dosage
Doxorubicin / administration & dosage
Eye Enucleation / adverse effects
Eye Neoplasms / drug therapy,  immunology,  pathology*
HIV Infections / complications*,  immunology
Humans
Lymphoma, B-Cell / drug therapy,  immunology,  pathology*
Male
Neoplasms, Second Primary / drug therapy,  immunology,  pathology*
Prednisolone / administration & dosage
Retinal Detachment / etiology,  pathology
Vincristine / administration & dosage
Chemical
Reg. No./Substance:
23214-92-8/Doxorubicin; 50-18-0/Cyclophosphamide; 50-24-8/Prednisolone; 57-22-7/Vincristine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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