A thorough sytemic examination revealed no systemic lymphoma or mycosis
fungoides. The patient was treated with 3500 rad (35 Gy) of radiotherapy to
the left conjunctiva with rapid regression of the lymphoma (Figure 1). During her last week of radiotherapy, she experienced
dysphagia and a 2.72 kg weight loss. She was discovered to have an obstructive
nasopharyngeal mass, and cervical, inguinal, and popliteal lymphadenopathy.
On examination of the biopsy specimen, the nasopharyngeal mass proved to be
T-cell lymphoma, and radiotherapy (1300 rad [13 Gy]) was delivered to the
site, and there was improvement. Systemic chemotherapy, using cytoxan, vincristine,
and adriamycin, was administered for 2 cycles. The patient maintained poor
follow-up for 11 months, and she subsequently died of an unknown cause.