Pilomatrix carcinoma of the lacrimal caruncle: a case report


HARBİYELİ İ. İ. , ÖZCAN A. A. , AÇIKALIN A. , Ciloglu E., Shields C. L.

ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, vol.83, no.2, pp.153-156, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 83 Issue: 2
  • Publication Date: 2020
  • Doi Number: 10.5935/0004-2749.20200029
  • Title of Journal : ARQUIVOS BRASILEIROS DE OFTALMOLOGIA
  • Page Numbers: pp.153-156

Abstract

A 45-year-old man presented with a 3-month history of a mass located in the caruncle of his right eye. An incisional biopsy had been performed one month prior by another specialist, and the histopathology report showed basal cell carcinoma. The mass was completely excised with a 2 mm safety margin, and the large conjunctival defect was reconstructed with one sheet of amniotic membrane allograft. A histological diagnosis of pilomatrix carcinoma was established. To prevent recurrence after surgery, we added bevacizumab (25 mg/mL, 1.25 mg/mL per drop) eye drops four times per day for three months. At the one-year follow-up, the patient showed no evidence of local recurrence or distant metastasis after initial excision and remains under close follow-up. Pilomatrix carcinoma should be considered in the differential diagnosis of a caruncular mass.