The patient with recurrent periorbital cellulitis: A sinister NK cell tumor lymphoma

Primary peri-orbital and intraocular ENTKL has rarely been reported. A high index of suspicion should be maintained in a patient presenting with non-resolving pre septal cellulitis, and a CT sinus should always be considered. Pre- or intraoperative suspicion of malignancy should indicate biopsy, with rapid referral for multidisciplinary team management given the aggressive nature and likely outcome.