Bilateral Lacrimal Gland Mantle Cell Lymphoma
We present a 70-year-old man with a 4-month history of epiphoria treated for nasolacrimal duct obstruction. As it was unresponsive to topical medical therapy, further examinations were performed that showed bilateral rubbery, mobile conjunctival masses (Figure 1). The masses were firm and sensitive to touch. The patient underwent conjunctival masses biopsy after signed consent approved by the Department of Medicine, University of Siena.

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