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Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man
Purpose. To report a case of benign fibrous histiocytoma of the conjunctiva involving the cornea, an uncommon ocular surface tumor. Methods. A 57-year-old patient came in our service complaining of a progressively enlarging conjunctival mass temporally to the limbus and invading the adjacent cornea...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Romanian Society of Ophthalmology
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820492/ https://www.ncbi.nlm.nih.gov/pubmed/31687631 |
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author | Popescu, Nicoleta Gheorghe, G. Alina Tataru, P. Calin Constantin, Mihai |
author_facet | Popescu, Nicoleta Gheorghe, G. Alina Tataru, P. Calin Constantin, Mihai |
author_sort | Popescu, Nicoleta |
collection | PubMed |
description | Purpose. To report a case of benign fibrous histiocytoma of the conjunctiva involving the cornea, an uncommon ocular surface tumor. Methods. A 57-year-old patient came in our service complaining of a progressively enlarging conjunctival mass temporally to the limbus and invading the adjacent cornea of the left eye. Results. The approach consisted in surgical excision followed by cryotherapy on the edges and on the base of the excision site and amniotic membrane patch reconstruction of the ocular surface defect. Pathologic examination and immunohistochemistry were performed in order to establish the diagnosis. No recurrences appeared in 8 months of follow up. Conclusions. Fibrous histiocytoma might be easily misdiagnosed as it is exceedingly rare. Complete resection with careful inspection of edges is advised. Cryotherapy at the base and borders of the resection site is recommended as both benign and malignant tumors can show recurrence. Amniotic membrane should always be regarded as an efficient option in reconstruction of broad surface defects after tumor resection. Abbreviations: FH = fibrous histiocytoma, CIN = corneal intraepithelial neoplasia, SSCA = squamous cell carcinoma, AM = amniotic membrane, MMC = topical mitomycin-C, 5-FU = 5-fluorouracil, BCVA = best corrected visual acuity |
format | Online Article Text |
id | pubmed-6820492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Romanian Society of Ophthalmology |
record_format | MEDLINE/PubMed |
spelling | pubmed-68204922019-11-04 Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man Popescu, Nicoleta Gheorghe, G. Alina Tataru, P. Calin Constantin, Mihai Rom J Ophthalmol Case Reports Purpose. To report a case of benign fibrous histiocytoma of the conjunctiva involving the cornea, an uncommon ocular surface tumor. Methods. A 57-year-old patient came in our service complaining of a progressively enlarging conjunctival mass temporally to the limbus and invading the adjacent cornea of the left eye. Results. The approach consisted in surgical excision followed by cryotherapy on the edges and on the base of the excision site and amniotic membrane patch reconstruction of the ocular surface defect. Pathologic examination and immunohistochemistry were performed in order to establish the diagnosis. No recurrences appeared in 8 months of follow up. Conclusions. Fibrous histiocytoma might be easily misdiagnosed as it is exceedingly rare. Complete resection with careful inspection of edges is advised. Cryotherapy at the base and borders of the resection site is recommended as both benign and malignant tumors can show recurrence. Amniotic membrane should always be regarded as an efficient option in reconstruction of broad surface defects after tumor resection. Abbreviations: FH = fibrous histiocytoma, CIN = corneal intraepithelial neoplasia, SSCA = squamous cell carcinoma, AM = amniotic membrane, MMC = topical mitomycin-C, 5-FU = 5-fluorouracil, BCVA = best corrected visual acuity Romanian Society of Ophthalmology 2019 /pmc/articles/PMC6820492/ /pubmed/31687631 Text en ©Romanian Society of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Popescu, Nicoleta Gheorghe, G. Alina Tataru, P. Calin Constantin, Mihai Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man |
title | Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man
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title_full | Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man
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title_fullStr | Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man
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title_full_unstemmed | Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man
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title_short | Conjunctival Benign Fibrous Histiocytoma in a 57-year-old man
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title_sort | conjunctival benign fibrous histiocytoma in a 57-year-old man |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820492/ https://www.ncbi.nlm.nih.gov/pubmed/31687631 |
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