ABSTRACT
Intravascular papillary endothelial hyperplasia (IPEH) is characterized by proliferation of endothelial cells usually occurring within a long-standing vascular malformation or tumor. IPEH usually affects neck, head and lower extremities, and few orbital and eyelid cases have been reported. We present a unique case, a 48-years-old man with a purple, elevated, multilobular conjunctival lesion of three-weeks duration that underwent an excisional biopsy. Pathological features revealed intravascular papillary endothelial hyperplasia (Masson's tumor).
Subject(s)
Vascular Neoplasms , Conjunctiva/pathology , Endothelial Cells/pathology , Eyelids/pathology , Humans , Hyperplasia/pathology , Male , Middle Aged , Vascular Neoplasms/pathologyABSTRACT
La hiperplasia endotelial papilar intravascular (IPEH) se caracteriza por la proliferación de células endoteliales generalmente producida dentro de una malformación vascular previa o un tumor. La IPEH suele afectar cuello, cabeza y extremidades inferiores, se han publicado pocos casos en la órbita ocular y párpados. Presentamos un caso único, un hombre de 48 años con una lesión conjuntival púrpura, elevada y multilobular de tres semanas de duración que se sometió a una biopsia excisional. Las características patológicas revelaron una hiperplasia endotelial papilar intravascular (tumor de Masson) (AU)
Intravascular papillary endothelial hyperplasia (IPEH) is characterized by proliferation of endothelial cells usually occurring within a long-standing vascular malformation or tumor. IPEH usually affects neck, head and lower extremities, and few orbital and eyelid cases have been reported. We present a unique case, a 48-year-old man with a purple, elevated, multilobular conjunctival lesion of three-weeks duration that underwent an excisional biopsy. Pathological features revealed intravascular papillary endothelial hyperplasia (Masson's tumor) (AU)
Subject(s)
Humans , Male , Middle Aged , Vascular Neoplasms/pathology , Endothelial Cells/pathology , Conjunctiva/pathology , Hyperplasia/pathologySubject(s)
Conjunctival Neoplasms/diagnosis , Conjunctival Neoplasms/therapy , Melanoma/diagnosis , Melanoma/therapy , Aged, 80 and over , Amnion/transplantation , Cell Proliferation , Combined Modality Therapy , Conjunctival Neoplasms/pathology , Cryotherapy , Female , Humans , Incidental Findings , Keratectomy , Melanoma/pathology , Plastic Surgery Procedures , Tumor Burden/physiologySubject(s)
Antimetabolites, Antineoplastic/administration & dosage , Carcinoma in Situ/drug therapy , Conjunctival Neoplasms/drug therapy , Fluorouracil/administration & dosage , Administration, Topical , Aged , Carcinoma in Situ/diagnostic imaging , Conjunctival Neoplasms/diagnostic imaging , Drug Contamination , Humans , Male , Remission Induction , Slit Lamp , Tomography, Optical CoherenceSubject(s)
Antineoplastic Agents/administration & dosage , Carcinoma, Squamous Cell/drug therapy , Conjunctival Neoplasms/drug therapy , Fluorouracil/administration & dosage , Administration, Topical , Aged , Carcinoma, Squamous Cell/pathology , Conjunctival Neoplasms/pathology , Female , Humans , Remission Induction , Time Factors , Treatment OutcomeABSTRACT
Niña de 11 años que acude por crecimiento rápido de lesión pigmentada en conjuntiva bulbar del ojo izquierdo. Debido a las características biomicroscópicas y ultrasónicas de la lesión se realizó una biopsia escisional con técnica "no touch" y criocoagulación en márgenes quirúrgicos. La anatomía patológica demostró la presencia de un nevus compuesto inflamatorio de conjuntiva. Los tumores melánicos de la conjuntiva son en su gran mayoría benignos. Sin embargo, el crecimiento acelerado de una lesión, la vascularización de la misma, los márgenes irregulares y la diferente coloración deben hacer pensar en una malignización. En tal caso, la biopsia escisional es obligatoria. A pesar de todas las características clínicas de malignidad, principalmente en jóvenes, puede tratarse de un nevus compuesto inflamatorio
An 11 year-old girl presented with a recent growth pigmented conjuntival lesion in the bulbar conjunctiva of left eye. Due to the the biomicroscopic and ultrasound findings, an excisional biopsy was performed on the lesion using the "no touch" technique, as well as cryo-coagulation of surgical margins. Histopathological examination revealed an inflammatory compound nevus. Melanotic conjunctival tumours are mostly benign. However, the recent growth of a lesion, its vascularisation, irregularities of the margins, and colour change must suggest it has turned malignant. In such case, excision of the lesion is mandatory. Despite all the clinical changes, especially in young patients, it can still be an inflammatory compound nevus
Subject(s)
Child , Nevus/classification , Nevus/pathology , Melanoma/classification , Melanoma/diagnosis , Melanoma/pathology , Eye Diseases/classification , Patients/classification , Diagnosis , Child , Eye Injuries/classification , Eye Injuries/diagnosis , Eye Injuries/pathologyABSTRACT
An 11 year-old girl presented with a recent growth pigmented conjuntival lesion in the bulbar conjunctiva of left eye. Due to the the biomicroscopic and ultrasound findings, an excisional biopsy was performed on the lesion using the «no touch¼ technique, as well as cryo-coagulation of surgical margins. Histopathological examination revealed an inflammatory compound nevus. Melanotic conjunctival tumours are mostly benign. However, the recent growth of a lesion, its vascularisation, irregularities of the margins, and colour change must suggest it has turned malignant. In such case, excision of the lesion is mandatory. Despite all the clinical changes, especially in young patients, it can still be an inflammatory compound nevus.
