Conjunctival keratoacanthoma
An 83-year-old man presented with a 1-month history of a rapidly enlarging conjunctival mass. On examination, slit lamp biomicroscopy revealed a leukoplakic tumour at the temporal limbus. The lesion was excised with cryotherapy application to the limbus and conjunctival margins. Histopathology revea...
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| Veröffentlicht in: | British journal of ophthalmology 2014-02, Vol.98 (2), p.275-276 |
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| creator | Oellers, Patrick Karp, Carol L Shah, Rikin R Winnick, Marc Matthews, Jared Dubovy, Sander |
| description | An 83-year-old man presented with a 1-month history of a rapidly enlarging conjunctival mass. On examination, slit lamp biomicroscopy revealed a leukoplakic tumour at the temporal limbus. The lesion was excised with cryotherapy application to the limbus and conjunctival margins. Histopathology revealed a keratoacanthoma (KA). KA typically occurs on sun-exposed areas of the skin. Conjunctival KA is very rare, and differentiation between conventional squamous cell carcinoma (SCCA) and KA can be challenging. The present case highlights the indication for excisional surgery in patients with conjunctival KA using the no touch technique, cryotherapy, amniotic membrane and the histopathological differentiation between KA and SCCA. |
| doi_str_mv | 10.1136/bjophthalmol-2013-303999 |
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On examination, slit lamp biomicroscopy revealed a leukoplakic tumour at the temporal limbus. The lesion was excised with cryotherapy application to the limbus and conjunctival margins. Histopathology revealed a keratoacanthoma (KA). KA typically occurs on sun-exposed areas of the skin. Conjunctival KA is very rare, and differentiation between conventional squamous cell carcinoma (SCCA) and KA can be challenging. The present case highlights the indication for excisional surgery in patients with conjunctival KA using the no touch technique, cryotherapy, amniotic membrane and the histopathological differentiation between KA and SCCA.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2013-303999</identifier><identifier>PMID: 24288390</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aged, 80 and over ; Conjunctiva - pathology ; Conjunctiva - surgery ; Conjunctival Diseases - diagnosis ; Conjunctival Diseases - surgery ; Cryosurgery ; Diagnosis, Differential ; Humans ; Keratin ; Keratoacanthoma - diagnosis ; Keratoacanthoma - surgery ; Lymphatic system ; Male ; Melanoma ; Skin cancer</subject><ispartof>British journal of ophthalmology, 2014-02, Vol.98 (2), p.275-276</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2014 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b387t-493b95fb520d240c58ac3f1e40d500f5ee72d192c336ff43b5d841432f37f58d3</citedby><cites>FETCH-LOGICAL-b387t-493b95fb520d240c58ac3f1e40d500f5ee72d192c336ff43b5d841432f37f58d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjo.bmj.com/content/98/2/275.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjo.bmj.com/content/98/2/275.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24288390$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oellers, Patrick</creatorcontrib><creatorcontrib>Karp, Carol L</creatorcontrib><creatorcontrib>Shah, Rikin R</creatorcontrib><creatorcontrib>Winnick, Marc</creatorcontrib><creatorcontrib>Matthews, Jared</creatorcontrib><creatorcontrib>Dubovy, Sander</creatorcontrib><title>Conjunctival keratoacanthoma</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>An 83-year-old man presented with a 1-month history of a rapidly enlarging conjunctival mass. On examination, slit lamp biomicroscopy revealed a leukoplakic tumour at the temporal limbus. The lesion was excised with cryotherapy application to the limbus and conjunctival margins. Histopathology revealed a keratoacanthoma (KA). KA typically occurs on sun-exposed areas of the skin. Conjunctival KA is very rare, and differentiation between conventional squamous cell carcinoma (SCCA) and KA can be challenging. The present case highlights the indication for excisional surgery in patients with conjunctival KA using the no touch technique, cryotherapy, amniotic membrane and the histopathological differentiation between KA and SCCA.</description><subject>Aged, 80 and over</subject><subject>Conjunctiva - pathology</subject><subject>Conjunctiva - surgery</subject><subject>Conjunctival Diseases - diagnosis</subject><subject>Conjunctival Diseases - surgery</subject><subject>Cryosurgery</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Keratin</subject><subject>Keratoacanthoma - diagnosis</subject><subject>Keratoacanthoma - surgery</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Melanoma</subject><subject>Skin cancer</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkE1LxDAQhoMobl39ByILXrxUZ_LRJEdZ_IIFL3oOaZuwW9tmbVrBf2-XriKePA0zPO_M8BCyQLhGZNlNXoXtul_bugl1SgFZyoBprQ9IgjxT40jqQ5IAgEwRM5yRkxirsaUZymMyo5wqxTQk5HwZ2mpoi37zYevFm-tsH2xh234dGntKjrytozvb1zl5vb97WT6mq-eHp-XtKs2Zkn3KNcu18LmgUFIOhVC2YB4dh1IAeOGcpCVqWjCWec9ZLkrFkTPqmfRClWxOrqa92y68Dy72ptnEwtW1bV0YokGuQUrQIhvRyz9oFYauHb8zKKXSQguQI6UmquhCjJ3zZtttGtt9GgSzM2h-GzQ7g2YyOEYv9geGvHHlT_Bb2QiwCcib6v9rvwBcan7b</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Oellers, Patrick</creator><creator>Karp, Carol L</creator><creator>Shah, Rikin R</creator><creator>Winnick, Marc</creator><creator>Matthews, Jared</creator><creator>Dubovy, Sander</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Conjunctival keratoacanthoma</title><author>Oellers, Patrick ; Karp, Carol L ; Shah, Rikin R ; Winnick, Marc ; Matthews, Jared ; Dubovy, Sander</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b387t-493b95fb520d240c58ac3f1e40d500f5ee72d192c336ff43b5d841432f37f58d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged, 80 and over</topic><topic>Conjunctiva - pathology</topic><topic>Conjunctiva - surgery</topic><topic>Conjunctival Diseases - diagnosis</topic><topic>Conjunctival Diseases - surgery</topic><topic>Cryosurgery</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Keratin</topic><topic>Keratoacanthoma - diagnosis</topic><topic>Keratoacanthoma - surgery</topic><topic>Lymphatic system</topic><topic>Male</topic><topic>Melanoma</topic><topic>Skin cancer</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oellers, Patrick</creatorcontrib><creatorcontrib>Karp, Carol L</creatorcontrib><creatorcontrib>Shah, Rikin R</creatorcontrib><creatorcontrib>Winnick, Marc</creatorcontrib><creatorcontrib>Matthews, Jared</creatorcontrib><creatorcontrib>Dubovy, Sander</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oellers, Patrick</au><au>Karp, Carol L</au><au>Shah, Rikin R</au><au>Winnick, Marc</au><au>Matthews, Jared</au><au>Dubovy, Sander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conjunctival keratoacanthoma</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>98</volume><issue>2</issue><spage>275</spage><epage>276</epage><pages>275-276</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>An 83-year-old man presented with a 1-month history of a rapidly enlarging conjunctival mass. On examination, slit lamp biomicroscopy revealed a leukoplakic tumour at the temporal limbus. The lesion was excised with cryotherapy application to the limbus and conjunctival margins. Histopathology revealed a keratoacanthoma (KA). KA typically occurs on sun-exposed areas of the skin. Conjunctival KA is very rare, and differentiation between conventional squamous cell carcinoma (SCCA) and KA can be challenging. The present case highlights the indication for excisional surgery in patients with conjunctival KA using the no touch technique, cryotherapy, amniotic membrane and the histopathological differentiation between KA and SCCA.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>24288390</pmid><doi>10.1136/bjophthalmol-2013-303999</doi><tpages>2</tpages></addata></record> |
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| subjects | Aged, 80 and over Conjunctiva - pathology Conjunctiva - surgery Conjunctival Diseases - diagnosis Conjunctival Diseases - surgery Cryosurgery Diagnosis, Differential Humans Keratin Keratoacanthoma - diagnosis Keratoacanthoma - surgery Lymphatic system Male Melanoma Skin cancer |
| title | Conjunctival keratoacanthoma |
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