Tumors of the caruncle: a clinicopathologic correlation

Details

Serval ID
serval:BIB_ABEA809EA9ED
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Tumors of the caruncle: a clinicopathologic correlation
Journal
American Journal of Ophthalmology
Author(s)
Kaeser  P. F., Uffer S., Zografos L., Hamedani M.
ISSN
0002-9394
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
142
Number
3
Pages
448-55
Language
english
Notes
Journal Article
Abstract
PURPOSE: To determine the types and incidence of caruncular lesions and to investigate the correlation between clinical and histologic diagnosis. DESIGN: Retrospective, observational case series. METHODS: Records of patients with a lesion of the caruncle that was excised and submitted to our ocular pathology department between January 1979 and May 2005 were reviewed. Lesions were classified by histologic type and correlated with patient age, gender, and preoperative clinical diagnosis. RESULTS: A total of 195 consecutive caruncular lesions from 191 patients were identified. Twenty-four different types of lesions were identified; the most common were nevi (n = 92, 47%) and papillomas (n = 29, 15%). One keratoacanthoma was identified. One hundred eighty-three lesions (93.8%) were benign, six (3.1%) were premalignant, and five (2.6%) were malignant. Preoperative clinical diagnosis corresponded to postexcision histologic diagnosis in 73 cases (37.4%). Suspected malignancy was a common reason for excision (61 cases, 31.3%), but malignancy was confirmed in only three (4.9%) of 61 cases. Two of the five malignant lesions were clinically thought to be benign. CONCLUSIONS: We hereby report the first caruncular keratoacanthoma. The rarity and variety of caruncular lesions make clinical diagnosis difficult. Malignancy is clinically overestimated, and some malignant lesions can take a benign aspect, justifying close photographic follow-up of all lesions. Because caruncular malignant melanoma is associated with poor prognosis, pigmented lesions should be monitored carefully. In the absence of clear criteria for malignancy, any change in color, size, or vascularization of a caruncular lesion should hasten excision.
Keywords
Adolescent
Pubmed
Web of science
Open Access
Yes
Create date
09/03/2009 10:02
Last modification date
20/08/2019 16:15
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