ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

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CARUNCULAR LESIONS: A 16-YEAR SINGLE CENTRE REVIEW IN THE UNITED KINGDOM

Author: Camille Yvon
ePoster Number: 248

Purpose

INTRODUCTION
The caruncle is an accessory lacrimal gland in the medial canthal area of the eye that contains an array of tissues in origin including sebaceous glands, hair follicles and sweat glands. Due to the multivariate nature of tissues, any lesion that arises from the caruncular area can also vary, which makes the diagnostic correlation between clinical and pathological interpretation a challenge.

OBJECTIVE
To review the clinicopathological features of caruncle biopsies carried out at Royal Surrey County Hospital, United Kingdom (UK), and compare with other centres where data has been published.

Methods

Retrospective observational case series at a district general hospital in the UK between 2004-2020.

Results

A total of 31 lesions from 31 patients were analysed. 61% of the patients were men and the age ranged from 12 to 91 years. 13 different histopathological types of lesions were identified in our case series, including melanocytic naevi (29%), benign squamous papillomas (23%), skin adnexal lesions (16%), chronic inflammation (13%), epithelial cysts (10%), basal cell carcinomas (3%), malignant melanomas (6%) and lymphoproliferative disorders (3%). Pre-operative suspected diagnoses were often vague but correct in 67% of cases.

Conclusion

The uncommon nature and variety of caruncular lesions make the diagnostic process difficult. Our case series is the first reported in the UK, showing a slightly higher proportion of malignant melanomas, in keeping with the population demographics. Excisional biopsies wound therefore be prudent in the majority of cases to rule out any possible malignancy.

Additional Authors

Abstract ID: 21-143