PDF(Pubmed)
Abstract：
Conjunctival nevi are benign, heterogenous tumors that uncommonly arise from the lacrimal caruncle and plica semilunaris. We present a case of a patient diagnosed and managed for an unusual, pigmented nevus of the left caruncle involving the plica. An 84-year-old woman presented with a rapidly growing, pigmented lesion in her left nasal canthus. Examination demonstrated a raised, dark, pigmented area arising from the left caruncle and seeming to involve the plica semilunaris without scleral extension. The lesion was completely excised for histopathology, which confirmed the diagnosis of a compound nevus with pigment incontinence. Given the unfavorable anatomical position and prognostic significance in the case of malignancy, pigmented caruncular lesions should be thoroughly investigated with a low threshold for surgical removal.
摘要：
结膜痣是良性的,非均质性肿瘤，罕见地出现于泪腺棘和半月板。我们介绍了一例患者的诊断和管理，涉及皱褶的左动脉的色素痣。一名84岁的妇女出现了一个快速增长的，她的左鼻角有色素病变。考试证明了一个加薪，黑暗,色素区产生于左动脉，似乎涉及半月形皱褶，没有巩膜延伸。为了组织病理学检查，病灶被完全切除，这证实了患有色素失禁的复合痣的诊断。鉴于恶性肿瘤的不利解剖位置和预后意义，应以低阈值进行彻底的手术切除，以彻底的研究。
