Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report

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 growi...

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Main Authors: Joshua Meyerov, Lewis Levitz, Afaf Haddad
Format: Article
Language:English
Published: Karger Publishers 2023-02-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/529421
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author Joshua Meyerov
Lewis Levitz
Afaf Haddad
author_facet Joshua Meyerov
Lewis Levitz
Afaf Haddad
author_sort Joshua Meyerov
collection DOAJ
description 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.
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spelling doaj.art-99e7cfbc853d4fc8999fa060bc5b42952023-03-23T06:54:58ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-02-01141838610.1159/000529421529421Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case ReportJoshua Meyerov0Lewis Levitz1Afaf Haddad2https://orcid.org/0000-0002-3832-5594Melbourne Medical School, Parkville, Melbourne, VIC, AustraliaVision Eye Institute, Camberwell, Melbourne, VIC, AustraliaThe University of Notre Dame, School of Medicine, Darlinghurst, NSW, AustraliaConjunctival 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.https://www.karger.com/Article/FullText/529421lacrimal caruncleplica semilunarisbenign pigmented nevuscase report
spellingShingle Joshua Meyerov
Lewis Levitz
Afaf Haddad
Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report
Case Reports in Ophthalmology
lacrimal caruncle
plica semilunaris
benign pigmented nevus
case report
title Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report
title_full Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report
title_fullStr Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report
title_full_unstemmed Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report
title_short Pigmented Nevus of the Caruncle and Plica Semilunaris: A Case Report
title_sort pigmented nevus of the caruncle and plica semilunaris a case report
topic lacrimal caruncle
plica semilunaris
benign pigmented nevus
case report
url https://www.karger.com/Article/FullText/529421
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AT lewislevitz pigmentednevusofthecaruncleandplicasemilunarisacasereport
AT afafhaddad pigmentednevusofthecaruncleandplicasemilunarisacasereport