Squamous Cell Carcinoma of the Lacrimal Caruncle: Case Reports

Put, Mathijs A. J. van de; Haeseker, Barbara I; Wolff-Rouendaal, D. De; Keizer, R J W de

doi:10.5301/ejo.5000399

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…Previously, SCC of the lacrimal apparatus has only been noted in c ase reports. 30,31 Primary SCC of the lacrimal gland, similar to that of the salivary glands, is thought to be a rare entity in comparison with metastatic SCC from primary SCC of the skin. According to SEER methodology, these tumors were coded as primary tumors; however, it is possible that the high rate of SCC found in this cohort could be the result of misclassification of metastatic disease.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Treatment of Lacrimal Gland Tumors

Clair

Arshi

Tajudeen

et al. 2014

JAMA Otolaryngol Head Neck Surg

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Section: Discussionmentioning

confidence: 99%

Epidemiology and Treatment of Lacrimal Gland Tumors

Clair

Arshi

Tajudeen

et al. 2014

JAMA Otolaryngol Head Neck Surg

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Primäres Basalzellkarzinom der Karunkel

2019

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Clinico-pathological correlation of lacrimal caruncle tumors: a retrospective analysis over 22 years at the University Eye Hospital Bonn

Clemens

Loeffler

Holz

et al. 2021

Graefes Arch Clin Exp Ophthalmol

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Purpose The lacrimal caruncle is composed of numerous structures including different glands as well as hair follicles. Accordingly, the spectrum of benign and malignant lesions is broad, and the clinical diagnosis is often challenging. Here we systematically analyzed excised caruncular tumors over the past 22 years with special emphasis on the clinico-pathological correlation to provide a guidance for clinicians. Methods Retrospective evaluation with clinico-pathologic correlation of surgically removed caruncular tumors between 1998 and 2020 at a tertiary referral center. Results Eighty-two caruncular tumors were identified in the respective period. The patients were between 11 and 85 years of age (mean, 46.8 years; median, 49 years). Nevi (n = 35), cystic lesions (n = 14), oncocytoma (n = 9), papilloma (n = 8), sebaceous gland hyperplasia (n = 8), and reactive lymphoid hyperplasia (n = 4) were observed most frequently. Besides, we are the first reporting herniated orbital fat accompanied by a pyogenic granuloma. 2.4% (n = 2) were malignant tumors (sebaceous gland carcinoma, conjunctival intraepithelial neoplasia with pyogenic granuloma). Conclusion Caruncular tumors show a broad spectrum of mostly benign tumors. They can occur in patients of any age. However, 8/9 oncocytomas and both malignant lesions were detected in patients older than 60 years. Although the clinical diagnosis was confirmed in only 68.3% by the histopathological analysis, the two malignant lesions were identified as such already clinically. Caruncular lesions with a history of growth or other signs of malignancy should be excised followed by detailed histopathological examination to allow a final diagnosis and exclude rare malignant tumors with lethal potential.

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Squamous Cell Carcinoma of the Lacrimal Caruncle: Case Reports

Abstract: We report 2 more cases of the rarely found squamous cell carcinoma of the lacrimal caruncle.

Cited by 5 publications

References 13 publications

Epidemiology and Treatment of Lacrimal Gland Tumors

Epidemiology and Treatment of Lacrimal Gland Tumors

Primäres Basalzellkarzinom der Karunkel

Clinico-pathological correlation of lacrimal caruncle tumors: a retrospective analysis over 22 years at the University Eye Hospital Bonn

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