How would you approach the staging and treatment of extranodal marginal zone lymphoma of left and right lacrimal gland?

This entity is described in literature as "ocular adnexal lymphoma". I usually screen those patients for Chlamydia infection and would empirically consider a 3-week course of doxycycline especially if the disease is indolent behaving clinically and there is prior serologic evidence of Chlamydia infection. Doxycycline treatment regresses >50% of such cases if there is evidence of Chlamydia (Ferreri et al., PMID 15968003). If no response or more aggressive behaving disease, and no evidence of syst...