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Primary Intraocular Lymphoma

  • Chapter
Intraocular Inflammation

Abstract

Primary intraocular lymphoma (PIOL) is a neoplasm, most frequently of B-cell and rarely T-cell origin arising from or initially presenting in the eye. PIOL of the B-cell type is a non-Hodgkin’s lymphoma of the diffuse large B-cell type that belongs within the category of primary central nervous system lymphoma (PCNSL). The lymphoma always is located in the subretinal space, retina, vitreous, and/or optic nerve. Since the retina, retinal pigment epithelium (RPE), and optic nerve are derived from the same neuroectoderm as the CNS during embryogenesis, and both the eye and CNS are immune-privileged organs, PIOL is often considered to be a subtype of PCNSL. Although a subtype of PCNSL, PIOL may arise de novo in the neuroretina rather than secondary involvement from a PCNSL.

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References

  1. Chan CC, Gonzalez JA (2007) Primary intraocular lymphoma. Chennai World Scientific Publishing Co. Pte. Ltd., New Jersey

    Book  Google Scholar 

  2. Coupland SE, Anastassiou G, Bornfeld N, Hummel M, Stein H (2005) Primary intraocular lymphoma of T-cell type: report of a case and review of the literature. Graefes Arch Clin Exp Ophthalmol 243(3):189–197

    Article  PubMed  Google Scholar 

  3. Hochberg FH, Baehring JM, Hochberg EP (2007) Primary CNS lymphoma. Nat Clin Pract Neurol 3(1):24–35

    Article  CAS  PubMed  Google Scholar 

  4. Chan CC, Rubenstwin JL, Coupland SE, Davis JL, Harbour JW, Johnston PB, Cassoux N, Touitou V, Smith JR, Batchelor TT, Pulido JS (2011) Primary vitreoretinal lymphoma: a report from an international primary central nervous system lymphoma collaborative group symposium. Oncologist 16:1589–1599

    Article  PubMed Central  PubMed  Google Scholar 

  5. Chan CC (2003) Molecular pathology of primary intraocular lymphoma. Trans Am Ophthalmol Soc 101:275–292

    PubMed Central  PubMed  Google Scholar 

  6. Chan CC, Sen HN (2013) Current concepts in diagnosing and managing primary vitreoretinal (intraocular) lymphoma. Discov Med 15:93–100

    PubMed Central  PubMed  Google Scholar 

  7. Merle-Beral H, Davi F, Cassoux N, Baudet S, Colin C, Gourdet T et al (2004) Biological diagnosis of primary intraocular lymphoma. Br J Haematol 124:469–473

    Article  PubMed  Google Scholar 

  8. Coupland SE, Damato B (2006) Lymphomas involving the eye and the ocular adnexa. Curr Opin Ophthalmol 17:523–531

    PubMed  Google Scholar 

  9. Read RW, Zamir E, Rao NA (2002) Neoplastic masquerade syndromes. Surv Ophthalmol 47:81–124

    Article  PubMed  Google Scholar 

  10. Rothova A, Ooijman F, Kerkhoff F, Van Der Lelij A, Lokhorst HM (2001) Uveitis masquerade syndromes. Ophthalmology 108:386–399

    Article  CAS  PubMed  Google Scholar 

  11. Davis JL (2004) Diagnosis of intraocular lymphoma. Ocul Immunol Inflamm 12(1):7–16

    Article  PubMed  Google Scholar 

  12. Eby NL, Grufferman S, Flannelly CM, Schold SC Jr, Vogel FS, Burger PC (1988) Increasing incidence of primary brain lymphoma in the US. Cancer 62(11):2461–2465

    Article  CAS  PubMed  Google Scholar 

  13. Thomas JO (2001) Acquired immunodeficiency syndrome-associated cancers in Sub-Saharan Africa. Semin Oncol 28(2):198–206

    Article  CAS  PubMed  Google Scholar 

  14. Olson JE, Janney CA, Rao RD, Cerhan JR, Kurtin PJ, Schiff D et al (2002) The continuing increase in the incidence of primary central nervous system non-Hodgkin lymphoma: a surveillance, epidemiology, and end results analysis. Cancer 95(7):1504–1510

    Article  PubMed  Google Scholar 

  15. Chan CC, Buggage RR, Nussenblatt RB (2002) Intraocular lymphoma. Curr Opin Ophthalmol 13(6):411–418

    Article  PubMed  Google Scholar 

  16. Gupta R, Murray PI (2006) Chronic non-infectious uveitis in the elderly: epidemiology, pathophysiology and management. Drugs Aging 23(7):535–558

    Article  CAS  PubMed  Google Scholar 

  17. Kadoch C, Treseler P, Rubenstein JL (2006) Molecular pathogenesis of primary central nervous system lymphoma. Neurosurg Focus 21(5):E1

    Article  PubMed  Google Scholar 

  18. Char DH, Ljung BM, Miller T, Phillips T (1988) Primary intraocular lymphoma (ocular reticulum cell sarcoma) diagnosis and management. Ophthalmology 95:625–630

    Article  CAS  PubMed  Google Scholar 

  19. Rockwood EJ, Zakov ZN, Bay JW (1984) Combined malignant lymphoma of the eye and CNS (reticulum-cell sarcoma). J Neurosurg 61:369–374

    Article  CAS  PubMed  Google Scholar 

  20. Hormigo A, Abrey L, Heinemann MH, DeAngelis LM (2004) Ocular presentation of primary central nervous system lymphoma: diagnosis and treatment. Br J Haematol 126(2):202–208

    Article  PubMed  Google Scholar 

  21. Levy-Clarke GA, Chan CC, Nussenblatt RB (2005) Diagnosis and management of primary intraocular lymphoma. Hematol Oncol Clin North Am 19(4):739–749

    Article  PubMed  Google Scholar 

  22. Algazi AP, Kadoch C, Rubenstein JL (2009) Biology and treatment of primary central nervous system lymphoma. Am Soc Exp Neuro Ther Inc 6:587–597

    CAS  Google Scholar 

  23. Balmaceda C, Gaynor JJ, Sun M et al (1995) Leptomeningeal tumor in primary central nervous system lymphoma: recognition, significance, and implications. Ann Neurol 38:202–209

    Article  CAS  PubMed  Google Scholar 

  24. Wallace DJ, Altemare CR, Shen DF, de Smet MD, Buggage RR, Nussenblatt RB, Chan CC (2006) Primary testicular and intraocular lymphomas: two case reports and a review of the literature. Surv Ophthalmol 51:41–50

    Article  PubMed Central  PubMed  Google Scholar 

  25. Mochizuki M, Singh AD (2009) Epidemiology and clinical features of intraocular lymphoma. Ocul Immunol Inflamm 17:69–72

    Article  PubMed  Google Scholar 

  26. Peterson K, Gordon KB, Heinemann MH et al (1993) The clinical spectrum of ocular lymphoma. Cancer 72:843–849

    Article  CAS  PubMed  Google Scholar 

  27. Cassoux N, Merle-Beral H, Leblond V et al (2000) Ocular and central nervous system lymphoma: clinical features and diagnosis. Ocul Immunol Inflamm 8:243–250

    Article  CAS  PubMed  Google Scholar 

  28. Wakefield D, Zierhut M (2009) Intraocular lymphoma: more questions than answers. Ocul Immunol Inflamm 17:6–10

    Article  PubMed  Google Scholar 

  29. Freeman LN, Schachat AP, Knox DL et al (1987) Clinical features, laboratory investigations, and survival in ocular reticulum cell sarcoma. Ophthalmology 94:1631–1639

    Article  CAS  PubMed  Google Scholar 

  30. Dean JM, Novak MA, Chan CC et al (1996) Tumor detachments of the retinal pigment epithelium in ocular/central nervous system lymphoma. Retina 16:47–56

    Article  CAS  PubMed  Google Scholar 

  31. Gass JD, Sever RJ, Grizzard WS et al (1984) Multifocal pigment epithelial detachments by reticulum cell sarcoma. A characteristic funduscopic picture. Retina 4:135–143

    Article  CAS  PubMed  Google Scholar 

  32. Gass JD, Trattler HL (1991) Retinal artery obstruction and atheromas associated with non-Hodgkin’s large cell lymphoma (reticulum cell sarcoma). Arch Ophthalmol 109:1134–1139

    Article  CAS  PubMed  Google Scholar 

  33. Michelson JB, Michelson PE, Bordin GM et al (1981) Ocular reticulum cell sarcoma. Presentation as retinal detachment with demonstration of monoclonal immunoglobulin light chains on the vitreous cells. Arch Ophthalmol 99:1409–1411

    Article  CAS  PubMed  Google Scholar 

  34. Fine HA, Mayer RJ (1993) Primary central nervous system lymphoma. Ann Intern Med 119(11):1093–1104

    Article  CAS  PubMed  Google Scholar 

  35. Barr CC, Green WR, Payne JW, Knox DL, Jensen AD, Thompson RL (1975) Intraocular reticulum-cell sarcoma: clinico-pathologic study of four cases and review of the literature. Surv Ophthalmol 19(4):224–239

    CAS  PubMed  Google Scholar 

  36. Whitcup SM, de Smet MD, Rubin BI, Palestine AG, Martin DF, Burnier MJ et al (1993) Intraocular lymphoma. Clinical and histopathologic diagnosis. Ophthalmology 100:1399–1406

    Article  CAS  PubMed  Google Scholar 

  37. Shibata S (1989) Sites of origin of primary intracerebral malignant lymphoma. Neurosurgery 25(1):14–19

    Article  CAS  PubMed  Google Scholar 

  38. Paulus W (1999) Classification, pathogenesis and molecular pathology of primary CNS lymphomas. J Neurooncol 43(3):203–208

    Article  CAS  PubMed  Google Scholar 

  39. Hochberg FH, Miller DC (1988) Primary central nervous system lymphoma. J Neurosurg 68(6):835–853

    Article  CAS  PubMed  Google Scholar 

  40. Chan CC, Shen DF, Whitcup SM, Nussenblatt RB, LeHoang P, Roberge FG et al (1999) Detection of human herpesvirus-8 and Epstein-Barr virus DNA in primary intraocular lymphoma. Blood 93(8):2749–2751

    CAS  PubMed  Google Scholar 

  41. Shen DF, Herbort CP, Tuaillon N, Buggage RR, Egwuagu CE, Chan CC (2001) Detection of toxoplasma gondii DNA in primary intraocular b-cell lymphoma. Mod Pathol 14(10):995–999

    Article  CAS  PubMed  Google Scholar 

  42. Buggage RR, Chan CC, Nussenblatt RB (2001) Ocular manifestations of central nervous system lymphoma. Curr Opin Oncol 13(3):137–142

    Article  CAS  PubMed  Google Scholar 

  43. Wang SS, Cozen W, Cerhan JR, Colt JS, Morton LM, Engels EA et al (2007) Immune mechanisms in non-Hodgkin lymphoma: joint effects of the TNF G308A and IL10 T3575A polymorphisms with non-Hodgkin lymphoma risk factors. Cancer Res 67(10):5042–5054

    Article  CAS  PubMed  Google Scholar 

  44. Rothman N, Skibola CF, Wang SS, Morgan G, Lan Q, Smith MT et al (2006) Genetic variation in TNF and IL10 and risk of non-Hodgkin lymphoma: a report from the InterLymph Consortium. Lancet Oncol 7(1):27–38

    Article  CAS  PubMed  Google Scholar 

  45. Ramkumar HL, Shen DF, Tuo J, Braziel RM, Coupland SE, Smith JR, Chan CC (2012) IL-10–1082 SNP and IL-10 in primary CNS and vitreoretinal lymphoma. Graefe’s Arch Clin Exp Ophthalmol 250:1541–1548

    Article  CAS  Google Scholar 

  46. Drillenburg P, Pals ST (2000) Cell adhesion receptors in lymphoma dissemination. Blood 95(6):1900–1910

    CAS  PubMed  Google Scholar 

  47. Bashir R, Coakham H, Hochberg F (1992) Expression of LFA-1/ICAM-1 in CNS lymphomas: possible mechanism for lymphoma homing into the brain. J Neurooncol 12(2):103–110

    CAS  PubMed  Google Scholar 

  48. Chan CC, Shen D, Hackett JJ, Buggage RR, Tuaillon N (2003) Expression of chemokine receptors, CXCR4 and CXCR5, and chemokines, BLC and SDF-1, in the eyes of patients with primary intraocular lymphoma. Ophthalmology 110(2):421–426

    Article  PubMed  Google Scholar 

  49. Smith JR, Braziel RM, Paoletti S, Lipp M, Uguccioni M, Rosenbaum JT (2003) Expression of B-cell-attracting chemokine 1 (CXCL13) by malignant lymphocytes and vascular endothelium in primary central nervous system lymphoma. Blood 101(3):815–821

    Article  CAS  PubMed  Google Scholar 

  50. Alizadeh AA, Eisen MB, Davis RE, Ma C, Lossos IS, Rosenwald A et al (2000) Distinct types of diffuse large B-cell lymphoma identified by gene expression profiling. Nature 403(6769):503–511

    Article  CAS  PubMed  Google Scholar 

  51. Rosenwald A, Wright G, Chan WC, Connors JM, Campo E, Fisher RI et al (2002) The use of molecular profiling to predict survival after chemotherapy for diffuse large-B-cell lymphoma. N Engl J Med 346(25):1937–1947

    Article  PubMed  Google Scholar 

  52. Rubenstein JL, Fridlyand J, Shen A, Aldape K, Ginzinger D, Batchelor T et al (2006) Gene expression and angiotropism in primary CNS lymphoma. Blood 107(9):3716–3723

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  53. Tuaillon N, Chan CC (2001) Molecular analysis of primary central nervous system and primary intraocular lymphoma. Curr Mol Med 1(2):259–272

    Article  CAS  PubMed  Google Scholar 

  54. Coupland SE, Hummel M, Muller HH, Stein H (2005) Molecular analysis of immunoglobulin genes in primary intraocular lymphoma. Invest Ophthalmol Vis Sci 46(10):3507–3514

    Article  PubMed  Google Scholar 

  55. Wallace DJ, Shen D, Reed GF, Miyanaga M, Mochizuki M, Sen HN et al (2006) Detection of the bcl-2 t(14;18) translocation and proto-oncogene expression in primary intraocular lymphoma. Invest Ophthalmol Vis Sci 47(7):2750–2756

    Article  PubMed Central  PubMed  Google Scholar 

  56. Young LS, Murray PG (2003) Epstein-Barr virus and oncogenesis: from latent genes to tumours. Oncogene 22(33):5108–5121

    Article  CAS  PubMed  Google Scholar 

  57. Hochberg FH, Miller G, Schooley RT, Hirsch MS, Feorino P, Henle W (1983) Central-nervous-system lymphoma related to Epstein-Barr virus. N Engl J Med 309(13):745–748

    Article  CAS  PubMed  Google Scholar 

  58. Bashir RM, Harris NL, Hochberg FH, Singer RM (1989) Detection of Epstein-Barr virus in CNS lymphomas by in-situ hybridization. Neurology 39(6):813–817

    Article  CAS  PubMed  Google Scholar 

  59. Sauer TC, Meyers SM, Shen D, Vegh S, Vygantas C, Chan CC (2010) Primary intraocular (retinal) lymphoma following ocular toxoplasmosis. Retin Cases Brief Rep 4:160–163

    Article  PubMed Central  PubMed  Google Scholar 

  60. Bolin TD, Hunt RH, Korman MG, Lambert JR, Lee A, Talley NJ (1995) Helicobacter pylori and gastric neoplasia: evolving concepts. Med J Aust 163(5):253–255

    CAS  PubMed  Google Scholar 

  61. Chan CC, Shen D, Mochizuki M, Gonzales JA, Yuen HK, Guex-Crosier Y et al (2006) Detection of Helicobacter pylori and Chlamydia pneumoniae genes in primary. Trans Am Ophthalmol Soc 104:62–70

    PubMed Central  PubMed  Google Scholar 

  62. Smedby KE, Baecklund E, Askling J (2006) Malignant lymphomas in autoimmunity and inflammation: a review of risks. Cancer Epidemiol Biomarkers Prev 15(11):2069–2077

    Article  CAS  PubMed  Google Scholar 

  63. Smedby KE, Hjalgrim H, Askling J, Chang ET, Gregersen H, Porwit-MacDonald A et al (2006) Autoimmune and chronic inflammatory disorders and risk of non-Hodgkin. J Natl Cancer Inst 98(1):51–60

    Article  PubMed  Google Scholar 

  64. Zintzaras E, Voulgarelis M, Moutsopoulos HM (2005) The risk of lymphoma development in autoimmune diseases: a meta-analysis. Arch Intern Med 165(20):2337–2344

    Article  PubMed  Google Scholar 

  65. Parver LM, Font RL (1979) Malignant lymphoma of the retina and brain. Initial diagnosis by cytologic examination of vitreous aspirate. Arch Ophthalmol 97(8):1505–1507

    Article  CAS  PubMed  Google Scholar 

  66. Blumenkranz MS, Ward T, Murphy S, Mieler W, Williams GA, Long J (1992) Applications and limitations of vitreoretinal biopsy techniques in intraocular large cell lymphoma. Retina 12(3):S64–S70

    Article  CAS  PubMed  Google Scholar 

  67. Davis JL, Solomon D, Nussenblatt RB, Palestine AG, Chan CC (1992) Immunocytochemical staining of vitreous cells. Indications, techniques, and results. Ophthalmology 99(2):250–256

    Article  CAS  PubMed  Google Scholar 

  68. Wolf LA, Reed GF, Buggage RR, Nussenblatt RB, Chan CC (2003) Vitreous cytokine levels. Ophthalmology 110(8):1671–1672

    Article  PubMed  Google Scholar 

  69. Whitcup SM, Stark-Vancs V, Wittes RE, Solomon D, Podgor MJ, Nussenblatt RB et al (1997) Association of interleukin-10 in the vitreous and cerebral spinal fluid and primary central nervous system lymphoma. Arch Ophthalmol 115:1157–1160

    Article  CAS  PubMed  Google Scholar 

  70. Chan CC, Whitcup SM, Solomon D, Nussenblatt RB (1995) Interleukin-10 in the vitreous of primary intraocular lymphoma. Am J Ophthalmol 120(5):671–673

    Article  CAS  PubMed  Google Scholar 

  71. Benjamin D, Park CD, Sharma V (1994) Human B cell interleukin 10. Leuk Lymphoma 12(3–4):205–210

    Article  CAS  PubMed  Google Scholar 

  72. Blay JY, Burdin N, Rousset F, Lenoir G, Biron P, Philip T et al (1993) Serum interleukin-10 in non-Hodgkin’s lymphoma: a prognostic factor. Blood 82(7):2169–2174

    CAS  PubMed  Google Scholar 

  73. Chan CC, Shen DF (1999) Newer methodologies in immunohistochemistry and diagnosis. In: BenEzra D (ed) Uveitis update. Karger, Basel, pp 1–13

    Chapter  Google Scholar 

  74. Salmaggi A, Eoli M, Corsini E, Gelati M, Frigerio S, Silvani A et al (2000) Cerebrospinal fluid interleukin-10 levels in primary central nervous. Ann Neurol 47(1):137–138

    Article  CAS  PubMed  Google Scholar 

  75. Cassoux N, Giron A, Bodaghi B, Tran TH, Baudet S, Davy F et al (2007) IL-10 measurement in aqueous humor for screening patients with suspicion of primary intraocular lymphoma. Invest Ophthalmol Vis Sci 48(7):3253–3259

    Article  PubMed Central  PubMed  Google Scholar 

  76. Chan CC, Shen D, Nussenblatt RB, Boni R, Zhuang Z (1998) Detection of molecular changes in primary intraocular lymphoma by microdissection and polymerase chain reaction [letter] [In Process Citation]. Diagn Mol Pathol 7(1):63–64

    Article  CAS  PubMed  Google Scholar 

  77. Shen DF, Zhuang Z, LeHoang P, Boni R, Zheng S, Nussenblatt RB et al (1998) Utility of microdissection and polymerase chain reaction for the detection of immunoglobulin gene rearrangement and translocation in primary intraocular lymphoma [In Process Citation]. Ophthalmology 105(9):1664–1669

    Article  CAS  PubMed  Google Scholar 

  78. Wang Y, Shen D, Wang VM, Sen HN, Chan CC (2011) Molecular biomarkers for the diagnosis of primary vitreoretinal lymphoma. Int J Mol Sci 12:5684–5697

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  79. Levy-Clarke GA, Buggage RR, Shen D, Vaughn LO, Chan CC, Davis JL (2002) Human T-cell lymphotropic virus type-1 associated T-cell leukemia/lymphoma masquerading as necrotizing retinal vasculitis. Ophthalmology 109(9):1717–1722

    Article  PubMed  Google Scholar 

  80. Levy-Clarke GA, Byrnes GA, Buggage RR, Shen DF, Filie AC, Caruso RC et al (2001) Primary intraocular lymphoma diagnosed by fine needle aspiration biopsy of a subretinal lesion. Retina 21(3):281–284

    Article  CAS  PubMed  Google Scholar 

  81. Buggage RR, Velez G, Myers-Powell B, Shen D, Whitcup SM, Chan CC (1999) Primary intraocular lymphoma with a low interleukin 10 to interleukin 6 ratio and heterogeneous IgH gene rearrangement. Arch Ophthalmol 117(9):1239–1242

    Article  CAS  PubMed  Google Scholar 

  82. Gonzales JA, Chan CC (2007) Biopsy techniques and yields in diagnosing primary intraocular lymphoma. Int Ophthalmol 27(4):241–250

    Article  PubMed Central  PubMed  Google Scholar 

  83. Cassoux N, Charlotte F, Rao NA, Bodaghi B, Merle-Beral H, Lehoang P (2005) Endoretinal biopsy in establishing the diagnosis of uveitis: Ocul Immunol Inflamm 13(1):79–83

    Article  PubMed  Google Scholar 

  84. Sen HN, Bodaghi B, Hoang PL, Nussenblatt R (2009) Primary intraocular lymphoma: diagnosis and differential diagnosis. Ocul Immunol Inflamm 17:133–141

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  85. Wender A, Adar A, Maor E et al (1994) Primary B-cell lymphoma of the eyes and brain in a 3-year-old boy. Arch Ophthalmol 112:450–451

    Article  CAS  PubMed  Google Scholar 

  86. Ferreri AJ, Blay JY, Reni M et al (2002) Relevance of intraocular involvement in the management of primary central nervous system lymphomas. Ann Oncol 13:531–538

    Article  CAS  PubMed  Google Scholar 

  87. Hoffman PM, McKelvie P, Hall AJ et al (2003) Intraocular lymphoma: a series of 14 patients with clinicopathological features and treatment outcomes. Eye 17:513–521

    Article  CAS  PubMed  Google Scholar 

  88. Isobe K, Ejima Y, Tokumaru S et al (2006) Treatment of primary intraocular lymphoma with radiation therapy: a multi-institutional survey in Japan. Leuk Lymphoma 47:1800–1805

    Article  PubMed  Google Scholar 

  89. Berenbom A, Davila RM, Lin HS et al (2007) Treatment. Outcomes for primary intraocular lymphoma: implications for external beam radiotherapy. Eye 21:1198–1201

    Article  CAS  PubMed  Google Scholar 

  90. Jahnke K, Korfel A, Komm J, Bechrakis NE, Stein H, Thiel E et al (2006) Intraocular lymphoma 2000–2005: results of a retrospective multicentre trial. Graefes Arch Clin Exp Ophthalmol 244(6):663–669

    Article  PubMed  Google Scholar 

  91. Grimm SA, Pulido JS, Jahnke K et al (2007) Primary intraocular lymphoma: an International Primary Central Nervous System Lymphoma Collaborative Group Report. Ann Oncol 18:1851–1855, Relevance of intraocular involvement in the management of primary central nervous system lymphomas. Ann Oncol 13:531–538

    Article  CAS  PubMed  Google Scholar 

  92. Grimm SA, McCannel CA, Omuro AM (2008) Primary CNS lymphoma with intraocular involvement: International PCNSL Collaborative Group Report. Neurology 71:1355–1360

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  93. Char DH, Margolis L, Newman AB (1981) Ocular reticulum cell sarcoma. Am J Ophthalmol 91:480–483

    Article  CAS  PubMed  Google Scholar 

  94. Batchelor TT, Kolak G, Ciordia R et al (2003) High-dose methotrexate for intraocular lymphoma. Clin Can Res 9:711–715

    CAS  Google Scholar 

  95. Sandor V, Stark-Vancs V, Pearson D et al (1998) Phase II trial of chemotherapy alone for primary CNS and intraocular lymphoma. J Clin Oncol 16:3000–3006

    CAS  PubMed  Google Scholar 

  96. Glantz MJ, Cole BF, Recht L et al (1998) High-dose intravenous methotrexate for patients with nonleukemic leptomeningeal cancer: is intrathecal chemotherapy necessary? J Clin Oncol 16:1561–1567

    CAS  PubMed  Google Scholar 

  97. Cher L, Glass J, Harsh GR et al (1996) Therapy of primary CNS lymphoma with methotrexate-based chemotherapy and deferred radiotherapy: preliminary results. Neurology 46:1757–1759

    Article  CAS  PubMed  Google Scholar 

  98. Guha-Thakurta N, Damek D, Pollack C et al (1999) Intravenous methotrexate as initial treatment for primary central nervous system lymphoma: response to therapy and quality of life of patients. J Neurooncol 43:259–268

    Article  CAS  PubMed  Google Scholar 

  99. Herrlinger U, Küker W, Uhl M et al (2005) NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report. Ann Neurol 57:843–847

    Article  CAS  PubMed  Google Scholar 

  100. Khan RB, Shi W, Thaler HT et al (2002) Is intrathecal methotrexate necessary in the treatment of primary CNS lymphoma? J Neurooncol 58:175–178

    Article  PubMed  Google Scholar 

  101. Taoka K, Yamamoto G, Kaburaki T, Takahashi T, Araie M, Kurokawa M (2011) Treatment of primary intraocular lymphoma with rituximab, high dose methotrexate, procarbazine, and vincristine chemotherapy, reduced whole-brain radiotherapy, and local ocular therapy. Br J Haematol 157:252–254

    Article  PubMed  CAS  Google Scholar 

  102. Reni M, Zaja F, Mason W et al (2007) Temozolomide as salvage treatment in primary brain lymphomas. Br J Cancer 96:864–867

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  103. Kurzwelly D, Glas M, Roth P, Weimann E, Lohner H, Waha A, Schabet M, Reifenberger G, Weller M, Herrlinger U (2010) Primary CNS lymphoma in the elderly: temozolomide therapy and MGMT status. J Neurooncol 97:389–392

    Article  CAS  PubMed  Google Scholar 

  104. Rubenstein JL, Hsi ED, Johnson JL, Jung SH, Nakashima MO, Grant B, Cheson BD, Kaplan LD (2013) Intensive chemotherapy and immunotherapy in patients with newly diagnosed primary CNS lymphoma: CALGB 50202 (alliance 50202). J Clin Oncol 31:3061–3068

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  105. Wang Y, Liu B, Xu D, Zhao H, Zhu Y, Xu J, Tao R (2013) Phase II trial of temozolomide plus concurrent whole-brain radiation followed by TNV regimen as adjuvant therapy for patients with newly diagnosed primary CNS lymphoma. Neurol India 61:260–264

    Article  PubMed  Google Scholar 

  106. Jaglowski SM, Alinari L, Lapalombella R, Muthusamy N, Byrd JC (2010) The clinical application of monoclonal antibodies in chronic lymphocytic leukemia. Blood 116:3705–3714

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  107. Coiffier B, Lepage E, Briere J et al (2002) CHOP chemotherapy plus rituximab compared with CHOP alone in elderly patients with diffuse large-B-cell lymphoma. N Engl J Med 346:235–242

    Article  CAS  PubMed  Google Scholar 

  108. Pfreundschuh M, Trümper L, Osterborg A et al (2006) CHOP-like chemotherapy plus rituximab versus CHOP-like chemotherapy alone in young patients with good-prognosis diffuse large-B-cell lymphoma: a randomised controlled trial by the MabThera International Trial (MInT) Group. Lancet Oncol 7:379–391

    Article  CAS  PubMed  Google Scholar 

  109. Wolf T, Kiderlen T, Atta J et al (2014) Successful treatment of AIDS-associated, primary CNS lymphoma with rituximab- and methotrexate-based chemotherapy and autologous stem cell transplantation. Infection 42:445–447

    Google Scholar 

  110. Oki Y, Westin JR, Vega F, Chuang H et al (2013) Prospective phase II study of rituximab with alternating cycles of hyper-CVAD and high-dose methotrexate with cytarabine for young patients with high-risk diffuse large B-cell lymphoma. Br J Haematol 163:611–620

    Google Scholar 

  111. Morris PG, Correa DD, Yahalom J et al (2013) Rituximab, methotrexate, procarbazine and vincristine followed by consolidation reduced-dose whole-brain radiotherapy and cytarabine in newly diagnosed primary CNS lymphoma: final results and long-term outcome. J Clin Oncol 31:3971–3979

    Google Scholar 

  112. Pels H, Schmidt-Wolf IG, Glasmacher A et al (2003) Primary central nervous system lymphoma: results of a pilot and phase II study of systemic and intraventricular chemotherapy with deferred radiotherapy. J Clin Oncol 21:4489–4495

    Article  CAS  PubMed  Google Scholar 

  113. Smith JR, Rosenbaum JT, Wilson DJ et al (2002) Role of intravitreal methotrexate in the management of primary central nervous system lymphoma with ocular involvement. Ophthalmology 109:1709–1716

    Article  PubMed  Google Scholar 

  114. Frenkel S, Hendler K, Siegal T et al (2008) Intravitreal methotrexate for treating vitreoretinal lymphoma: ten years of experience. Br J Ophthalmol 92:383–388

    Article  CAS  PubMed  Google Scholar 

  115. Fishburne BC, Wilson DJ, Rosenbaum JT et al (1997) Intravitreal methotrexate as an adjunctive treatment of intraocular lymphoma. Arch Ophthalmol 115:1152–1156

    Article  CAS  PubMed  Google Scholar 

  116. Kitzmann AS, Pulido JS, Mohney BG et al (2007) Intraocular use of rituximab. Eye 21:1524–1527

    Article  CAS  PubMed  Google Scholar 

  117. Hashida N, Ohguro N, Nishida K (2012) Efficacy and complications of intravitreal rituximab injection for treating primary vitreoretinal lymphoma. Transl Vis Sci Technol 1:1

    Article  PubMed Central  PubMed  Google Scholar 

  118. Ohguro N, Hashida N, Tano Y (2008) Effect of intravitreous rituximab injections in patients with recurrent ocular lesions associated with central nervous system lymphoma. Arch Ophthalmol 126:1002–1003

    Article  CAS  PubMed  Google Scholar 

  119. Pe’er J, Hochberg FH, Foster CS (2009) Clinical review: treatment of vitreoretinal lymphoma. Ocul Immunol Inflamm 17:299–306

    Article  PubMed  CAS  Google Scholar 

  120. Yeh S, Wilson DJ (2010) Combination intravitreal rituximab and methotrexate for massive subretinal lymphoma. Eye 24:1625–1627

    Article  CAS  PubMed  Google Scholar 

  121. Wong ET (2005) Salvage therapy for primary CNS lymphoma with a combination of rituximab and temozolomide. Neurology 64:934

    Article  PubMed  Google Scholar 

  122. Soussain C, Hoang-Xuan K, Taillandier L et al (2008) Intensive chemotherapy followed by hematopoietic stem-cell rescue for refractory and recurrent primary CNS and intraocular lymphoma: Société Française de Greffe de Moëlle Osseuse-Thérapie Cellulaire. J Clin Oncol 26:2512–2518

    Article  PubMed  Google Scholar 

  123. Soussain C, Choquet S, Fourme E et al (2012) Intensive chemotherapy with thiotepa, busulfan and cyclophosphamide and hematopoietic stem cell rescue in relapsed or refractory primary central nervous system lymphoma and intraocular lymphoma: a retrospective study of 79 cases. Haematologica 97:1751–1756

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  124. DeAngelis LM (1999) Primary central nervous system lymphoma. Curr Opin Neurol 12(6):687–691

    Article  CAS  PubMed  Google Scholar 

  125. Panageas KS, Elkin EB, DeAngelis LM, Ben-Porat L, Abrey LE (2005) Trends in survival from primary central nervous system lymphoma. Cancer 104(11):2466–2472

    Article  PubMed  Google Scholar 

  126. DeAngelis LM, Seiferheld W, Schold SC, Fisher B, Schultz CJ (2002) Combination chemotherapy and radiotherapy for primary central nervous system lymphoma: Radiation Therapy Oncology Group Study 93-10. J Clin Oncol 20(24):4643–4648

    Article  PubMed  Google Scholar 

  127. Shibamoto Y, Tsuchida E, Seki K, Oya N, Hasegawa M, Toda Y et al (2004) Primary central nervous system lymphoma in Japan 1995–1999: changes from. J Cancer Res Clin Oncol 130(6):351–356

    Article  PubMed  Google Scholar 

  128. Kimura K, Usui Y, Goto H (2012) Clinical features and diagnostic significance of the intraocular fluid of 217 patients with intraocular lymphoma. Jpn J Ophthalmol 56(4):383–389

    Article  PubMed  Google Scholar 

  129. Abrey LE, Yahalom J, DeAngelis LM (2000) Treatment for primary CNS lymphoma: the next step. J Clin Oncol 18(17):3144–3150

    CAS  PubMed  Google Scholar 

  130. Corry J, Smith JG, Wirth A, Quong G, Liew KH (1998) Primary central nervous system lymphoma: age and performance status are more important than treatment modality. Int J Radiat Oncol Biol Phys 41(3):615–620

    Article  CAS  PubMed  Google Scholar 

  131. Lossos IS, Czerwinski DK, Alizadeh AA, Wechser MA, Tibshirani R, Botstein D et al (2004) Prediction of survival in diffuse large-B-cell lymphoma based on the expression of six genes. N Engl J Med 350(18):1828–1837

    Article  CAS  PubMed  Google Scholar 

  132. Dave SS, Wright G, Tan B, Rosenwald A, Gascoyne RD, Chan WC et al (2004) Prediction of survival in follicular lymphoma based on molecular features. N Engl J Med 351(21):2159–2169

    Article  CAS  PubMed  Google Scholar 

  133. Bea S, Zettl A, Wright G, Salaverria I, Jehn P, Moreno V et al (2005) Diffuse large B-cell lymphoma subgroups have distinct genetic profiles that influence tumor biology and improve gene expression-based survival prediction. Blood 106:3183–3190

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  134. Coupland SE, Chan CC, Smith J (2009) Pathophysiology of retinal lymphoma. Ocular immunology and inflammation 17:227–237

    Google Scholar 

  135. Casady M, Faia L, Nazemzadeh M et al (2014) Fundus autofluorescence patterns in primary intraocular lymphoma. Retina 34:366–372

    Google Scholar 

  136. Sagoo MS, Mehta H, Swampillai AJ et al (2014) Primary intraocular lymphoma. Survey of ophthalmology 59:503–516

    Google Scholar 

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Case Report 12

Intraocular lymphoma (PPT 3141 kb)

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Chan, CC., Haen, S.P., Möhle, R., Zierhut, M. (2016). Primary Intraocular Lymphoma. In: Zierhut, M., Pavesio, C., Ohno, S., Orefice, F., Rao, N. (eds) Intraocular Inflammation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75387-2_147

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