Large conjunctival mass

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May May Choo
Moharzudi Mohamed
Hanida Hanafi


Background: Conjunctiva papilloma is a benign growth of the conjunctiva epithelium. It usually presents as a multi-lobular strawberry red lesion with glistening appearance. Recurrence is one of the complications after treatment.

Objective: To report a large pigmented, brownish, conjunctival lesion which mimic conjunctiva melanoma and its management

Methods: Case report

Results: A 60-year-old gentleman presented with a 4-year history of gradually enlarging pigmented growth on the left cornea. It was painless with minimal bleeding. On examination, the visual acuity was 6/48 in the left eye and 6/20 in the right eye. He had a large brownish, lobulated mass arising from the left inferior fornix, covering the medial half of the cornea. The mass was associated with multiple feeder vessels from the nasal bulbar conjunctiva. Incisional biopsy was done and the lesion was reported as benign melanosis. Subsequently, excisional biopsy with amniotic membrane transplantation was performed. Histopathology of the tumour revealed conjunctiva papilloma.

Conclusion: Incisional biopsy should be done when malignancy is suspected. Excision biopsy with amniotic membrane transplantation is an alternative option for the treatment of large conjunctiva papilloma.


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