Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5825
Peer-review started: December 6, 2021
First decision: March 7, 2022
Revised: March 11, 2022
Accepted: April 3, 2022
Article in press: April 3, 2022
Published online: June 16, 2022
Processing time: 184 Days and 23.9 Hours
Mycosis fungoides (MF) is a form of lymphoma derived from heterogeneous T cells, and eyelid involvement is extremely rare. The common methods to treat eyelid involvement are radiotherapy and chemotherapy, but their efficacies are limited. Herein, we report a case of advanced-stage MF eyelid involvement, propose ultrasound (US)-guided microwave ablation (MWA) therapy and present a literature review.
A male patient was admitted to our hospital in June 2018 and diagnosed with MF via radiological and histopathological examinations. The patient’s condition was not well controlled by various conventional chemotherapies. US-guided MWA was performed to relieve the patient’s symptoms and improve his quality of life, showing satisfactory efficacy.
Eyelid involvement is one of the most troublesome clinical problems for advanced-stage MF patients. This is the first report on the use of US-guided MWA as a palliative therapy for MF eyelid involvement; the treatment successfully relieved the patient’s clinical symptoms and reduced his anxiety behaviours. Our study sheds new light on methods for improving the clinical management of eyelid involvement in MF.
Core Tip: In this case report, we propose the use of ultrasound-guided percutaneous microwave ablation for the treatment of advanced mycosis fungoides eyelid involvement. Compared with traditional surgical methods, it has less trauma, faster recovery and fewer side effects. As a palliative treatment method, it can greatly alleviate the patient's clinical symptoms and improve the quality of life.