Conjunctival granuloma with necrosis associated with exposed suture in upper double lid masquerading as ocular surface squamous neoplasia: a case report
نویسندگان
چکیده
BACKGROUND This study reports two cases of conjunctival granuloma with necrosis caused by an exposed suture in the upper palpebral conjunctiva masquerading as ocular surface squamous neoplasia. CASE PRESENTATION Two patients presented with chronic conjunctival ulcerative and granulomatous lesions on the superior bulbar conjunctiva that repeatedly recurred after the mass was removed. The pathologic findings revealed the absence of malignant cells and presence of many lymphocytes, plasma cells, and histiocytes. There was no evidence of acid-fast bacilli or fungal organisms. When a past history of blepharoplasty was established, microscopic examination revealed occult exposed suture tips. After the sutures were removed, the granuloma with necrosis was resolved within a month. CONCLUSION For all conjunctival lesions in the superior bulbar conjunctiva, a thorough examination of the ocular adnexae which includes eyelid eversion should be performed. There should be a suspicion of foreign body or exposed suture material especially when there is a non-healing ulcer.
منابع مشابه
An Intraoral Epitheloid Hemangioendothelioma Masquerading Clinically as Pyogenic Granuloma
Epitheloid hemangioendothelioma (EHE) is an uncommon angiocentric neoplasm of intermediate malignant potential. This tumor is frequently seen in the lungs and liver, but its presentation in the oral cavity is rare. In the oral cavity, gingival region is the common sites of occurrence. We report a rare case of epitheloid hemangioendothelioma in a 48-year-old male, presenting as a growth in the u...
متن کاملSurgical Reconstruction of Ocular Surface Tumors Using Fibrin Sealant Tissue Adhesive.
PURPOSE To evaluate the surgical outcomes of ocular surface reconstruction in corneal-conjunctival tumors using fibrin tissue adhesive. METHODS A prospective noncomparative study was performed between May 2013 and February 2015. Patients were submitted to routine surgical procedure for corneal-conjunctival tumor excision followed by amniotic membrane graft transplantation using fibrin tissue ...
متن کاملOcular Rhinosporidium granuloma masquerading as Conjunctival Hemangioma: a Case Report
Bawana Raina, Mega Lahori*, Arvind Khajuria Department of Pathology, Acharya Shri Chander College of Medical Sciences, Jammu, India Ocular rhinosporidiosis is a chronic granulomatous infection caused by Rhinosporidium seeberi, a protistal microorganism endemic in the hot, tropical climes of India and Sri Lanka. It often presents as a friable, vascular conjunctival polyp but may mimic other ocul...
متن کاملAmniotic membrane transplantation for reconstruction after excision of large ocular surface neoplasias.
AIM To evaluate the clinical outcome of patients in whom ocular surface reconstruction was performed using amniotic membrane transplantation (AMT) after the excision of large (>20 mm square) ocular surface neoplasias (OSN). METHODS A non-comparative interventional case series. In 16 eyes of 16 patients, excision of large OSN including conjunctival intraepithelial neoplasia (CIN), primary acqu...
متن کاملParotid Gland Carcinoma Masquerading as an Aural Polyp
Introduction Parotid gland squamous cell carcinoma is an uncommon aggressive neoplasm with poor prognosis. Aural polyps are usually the presenting features of chronic suppurative otitis media, tuberculous otitis media, and adenoma or carcinoma. The malignant aural polyp is very rare. Parotid gland carcinoma masquerading as an aural polyp has rarely been described in the literature. ...
متن کامل