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Large conjunctival mass |
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| รหัสดีโอไอ | |
| Creator | Peng Li Jing MD1,2, Choo May May FRCS1, Moharzudi Mohamed Mpath3, Hanida Hanafi MMed2 |
| Title | Large conjunctival mass |
| Publisher | AECOM Foundation |
| Publication Year | 2560 |
| Journal Title | Eye South East Asia |
| Journal Vol. | 12 |
| Journal No. | 2 |
| Page no. | 5-10 |
| Keyword | conjunctival papilloma, pigmented conjunctival mass, amniotic membrane transplant, conjunctiva, cornea. |
| ISSN | 2586-8349 |
| Abstract | Background: Conjunctival papilloma is a benign growth of the conjunctival epithelium. It usually presents as a multi-lobular strawberry red lesion with glistening appearance. Recurrence is one of the complications after treatment.Objective: To report a large pigmented, brownish, conjunctival lesion which mimic conjunctival melanoma and its management.Methods: Case reportResults: A 60-year-old gentleman presented with a 4-year history of gradually enlarging pigmented growth on the left cornea. It was painless with minimal bleeding. On examination, the visual acuity was 6/48 in the left eye and 6/20 in the right eye. He had a large brownish, lobulated mass arising from the left inferior fornix, covering the medial half of the cornea. The size of the mass was about 16mm X 13mm. The mass was associated with multiple feeder vessels from the nasal bulbar conjunctiva. Incisional biopsy was done and the lesion was reported as benign epithelial melanosis. Subsequently, excisional biopsy with amniotic membrane transplantation was performed. Histopathology of the tumour revealed conjunctival papilloma.Conclusion: Incisional biopsy should be done when malignancy is suspected. Excision biopsy with amniotic membrane transplantation is an alternative option for the treatment of large conjunctival papilloma with cornea invovlment. |
