A rare case of conjunctival myxoma and a review of the literature.
ABSTRACT To report on an 11-year-old boy with a painless slow-growing temporal bulbar conjunctival mass of his left eye.
A case report and review of the literature.
An 11-year-old boy presented with a painless slow-growing mass in the temporal bulbar conjunctiva of his left eye, which had been noted for 1 year. After ophthalmic and systemic evaluations, the clinical differential diagnosis at the time included amelanotic naevus, amelanotic melanoma, myxoma, fibrous histiocytoma, reactive lymphoid hyperplasia and lipoma. This lesion was excised under local anaesthesia. From the histopathological features, conjunctival myxoma was confirmed. After 12 months, the patient remained healthy, with no recurrence or metastasis of the conjunctival lesion or evidence of a systemic abnormality.
We report this case to emphasize that conjunctival myxoma can appear as a well-circumscribed, translucent, yellow-pink conjunctival mass in teenage patients. Successful healing is usually achieved by complete surgical resection. Cardiac, endocrine, and family screening is required to reduce the risk of morbidity and mortality.
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ABSTRACT: Das konjunktivale Bindehautmyxom ist ein seltener, gutartiger Tumor ohne Rezidivneigung. Vorgestellt werden 2 Fälle unter Berücksichtigung des klinischen Erscheinungsbilds und Verlaufs, die nach Exzision histopathologisch untersucht und mittels Immunhistochemie sowie Elektronenmikroskopie weiter aufgearbeitet wurden. Neben dem bekannten Erscheinungsbild des Bindehautmyxoms zeigten sich mögliche Hinweise auf die Ätiologie dieser Gewebsneubildung. Conjunctival myxoma is a rare and benign tumour without tendency for recurrence. Here, we present the histological features and the clinical course of two cases. Removal of each tumour was followed by histopathological examination including immunohistochemistry as well as electron microscopy. Besides the expected findings characteristic of conjunctival myxoma some features reflecting the possible aetiology of this entity are shown. SchlüsselwörterMyxom-Bindehaut-Tumor-Immunhistochemie-Ophthalmopathologie KeywordsMyxoma-Conjunctiva-Tumour-Immunohistochemistry-Ophthalmic pathologyDer Ophthalmologe 09/2010; 107(9):843-847. DOI:10.1007/s00347-009-2120-0 · 0.72 Impact Factor
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ABSTRACT: A 45-year-old woman presented with conjunctival myxoma in the right eye. A mixture of healon and trypan blue solution 0.06 mg was injected through a 27-gauge needle into the conjunctiva to delineate the lesion to achieve complete removal. This technique is effective in delineating the myxoma while preserving its integrity during removal. It may also help in lowering recurrence.Middle East African journal of ophthalmology 07/2012; 19(3):352-3. DOI:10.4103/0974-9233.97968
Article: Conjunctival myxoma-a case report.[Show abstract] [Hide abstract]
ABSTRACT: Ocular myxomas are rare neoplasms. We report a case of conjunctival myxoma in a 33-year-old male. Clinically, it was diagnosed as a conjunctival cyst. Histopathological findings revealed spindle, and fusiform cells in loose myxoid stroma with cystic change. There were no systemic abnormalities detected.Malaysian Journal of Medical Sciences 01/2013; 20(1):92-4.