Non-Hodgkin's Lymphoma Presenting as a Huge Ocular Adnexal and Forehead Mass Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula

To report a case of non-Hodgkin’s lymphoma (NHL) presenting as an ocular adnexal and forehead mass. CASE REPORT: An elderly male patient was referred by a neurosurgeon to the eye clinic with a six-month history of a massive tumor measuring 12x16x8 cm involving the right side of the forehead, eyebrow and upper eyelid. Neurological examination had been normal and computed tomography revealed no intracranial extension. The patient was referred to an otorhinolaryngologist who performed an incisional biopsy which revealed the mass to be NHL. He received chemotherapy with CHOP regimen (cyclophosphamide, adriamycin, vincristine and prednisolone) resulting in reduction in lesion size leaving a phthysical eyeball and a ptotic lid. Non-Hodgkin’s lymphoma may occur in almost any part of the body and should be considered in the differential diagnosis of extralymphoid tumors.