Bilateral MALT (Mucosal Associated Lymphoid Tissue) Lymphoma of the Conjonctiva: A rare case report

MALT (Mucosal Associated Lymphoid Tissue) lymphomas of the conjunctiva belong to the extranodal marginal zone B-cell lymphomas. This site, while standard, is uncommon. We present the observation of a 65 year’s old man who presented a pink papular tumor developed on both lower eyelids. The CT-scan showed thickeni ng of soft tissues associated with bilateral eyelid and sub diaphragmatic nodes. A chemotherapy protocol based on eight courses of R-CHOP was established with a complete remission. Twelve months later, another bilateral eyelid swelling reappeared. Treatment with local radiotherapy to 24 Gy was proposed with good outcome 28 months later.