Journal List > J Korean Ophthalmol Soc > v.54(6) > 1009710

Baek, Jung, Paik, and Yang: A Case of Conjunctival Myxoma Invading the Caruncle

Abstract

Purpose

To report a rare case of conjunctival myxoma invading the caruncle.

Case summary

A 46-year-old man presented with a medical canthal conjunctival mass in his left eye. The mass was a semi-transparent, yellowish, movable mass 10 mm × 6 mm in size in the subconjunctival space. There was no pain and no tenderness. Excisional biopsy of the mass was performed. Histopathologic examination revealed findings suggestive of myxoma.

Conclusions

Relatively transparent, movable, yellowish to pinkish conjunctival masses at medial canthal area without pain or tenderness can be diagnosed as myxoma on biopsy and myxoma can be seen at caruncle.

References

1. Weiss SW, Goldblum JR, Franz M. Benign soft tissue tumors and pseudotumors of uncertain type. In: Enzinger FM, Weiss SW. eds. Soft Tissue Tumors. St Louis: Mosby;2001; 1045–53.
2. Mackenzie DH. The myxoid tumors of somatic soft tissues. Am J Surg Pathol. 1981; 5:443–58.
crossref
3. Demirci H, Shields CL, Eagle RC Jr, Shields JA. Report of a con-junctival myxoma case and review of the literature. Arch Ophthalmol. 2006; 124:735–8.
crossref
4. Park SJ, Lee MJ, Sung MS. . A case of conjunctival myxoma. J Korean Ophthalmol Soc. 2008; 49:1676–9.
crossref
5. Shin JH, Jung JH, Choi HY. A case of an orbital myxoma. J Korean Ophthalmol Soc. 2010; 51:1142–5.
crossref
6. Shields CL, Shields JA, White D, Augsburger JJ. Types and fre-quency of lesions of the caruncle. Am J Ophthalmol. 1986; 102:771–8.
crossref
7. Shields JA, Shields CL. Fibrous, neural, xanthomatous and myx-omatous tumors. In: Shields JA, Shields CL, eds. Atlas of Eyelid and Conjunctival Tumors. Philadelphia: Pa: Lippincott Williams & Wilkins;1999; 277–8.
8. Demirci H, Shields CL, Eagle RC Jr, Shields JA. Report of a con-junctival myxoma case and review of the literature. Arch Ophthalmol. 2006; 124:735–8.
crossref
9. Patrinely JR, Green WR. Conjunctival myxoma: a clinicopatho-logic study of four cases and a review of the literature. Arch Ophthalmol. 1983; 101:1416–20.
10. Pe’er J, Ilsar M, Hidayat A.Conjunctival myxoma: a case report. Br J Ophthalmol. 1984; 68:618–22.
11. Pe'er J, Hidayat AA. Myxomas of the conjunctiva. Am J Ophthalmol. 1986; 102:80–6.
12. Burke AP, Virmani R. Cardiac myxoma: a clinicopathologictudy. Am J ClinPathol. 1993; 100:671–80.
13. Carney JA. Carney complex: the complex of myxomas, spotty pig-mentation, endocrine overactivity, and schwannomas. Semin Dermatol. 1995; 14:90–8.
crossref
14. Kennedy RH, Waller RR, Carney JA. Ocular pigmented spots and eyelid myxomas. Am J Ophthalmol. 1987; 104:533–8.
crossref

Figure 1.
Well circumscribed, relatively transparent yellowish to pinkish, movable subconjunctival mass arising from caruncle of the left eye.
jkos-54-954f1.tif
Figure 2.
Well circumscribed, relatively transparent 10 mm × 6 mm oval shaped mass was excised (A). Spindle cell proliferation with reticular fiber in prominent hypovascular myxoid stroma was seen on pathology (H&E, (B) ×100, (C) ×200).
jkos-54-954f2.tif
Figure 3.
Anterior segment photography of the same patient 3 months after surgery. No recurrence or complication was found.
jkos-54-954f3.tif
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