Abstract

Abstract Background: Most conjunctival papillomas are benign in nature. However, any long standing conjunctival mass should not evade the surveillance of carcinogenicity. Presented here is a case of a long standing

Highlights

  • Conjunctival papillomas are common in the eye [1] and fall into various categories including squamous cell, limbal, inverted, and viral

  • Prevalence in the United States ranges from 4 to 12%, and formation is strongly associated with human papillomavirus (HPV) types 6 and 11 [2]

  • It was later diagnosed as an exophytic conjunctival papilloma that exhibited p16 staining and was found positive for HPV subtypes 6 and 11

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Summary

Results

A 48-year-old man presented for urgent care evaluation of a growth on his left lower eyelid that was itchy and bled intermittently with eye rub. Ocular examination of the lower eyelid revealed a large pink pedunculated mass on the palpebral conjunctiva. The patient underwent excision of the mass with conjunctivoplasty and ocular surface reconstruction. Histopathology of the tissue revealed the mass to be a conjunctival papilloma with positive staining for low-risk HPV types 6 and 11

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