AlBayyat Ghada J, Venkateswaran Nandini, Arreaza Dan, Dubovy Sander R, Galor Anat, Karp Carol L
Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA.
Florida Lions Ocular Pathology Laboratory, Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL, USA.
BMJ Case Rep. 2019 Jul 11;12(7):e228833. doi: 10.1136/bcr-2018-228833.
An 83-year-old white man presented with a rapidly growing conjunctival mass in his left eye over the course of 1 month. While awaiting surgical intervention, the tumour underwent partial, spontaneous regression to half its original size. The lesion was ultimately excised with wide margins using a no-touch technique and application of cryotherapy to the corneal and conjunctival margins and scleral bed. Histopathological analysis revealed a conjunctival keratoacanthoma. To our knowledge, this is the first case documenting the partial, spontaneous regression of a conjunctival keratoacanthoma over a 5 week time course from the time of diagnosis to surgical excision.
一名83岁的白人男性在1个月内左眼出现迅速生长的结膜肿物。在等待手术干预期间，肿瘤部分自发消退至原来大小的一半。最终采用无接触技术，对角膜、结膜边缘及巩膜床进行冷冻治疗，将病变广泛切除。组织病理学分析显示为结膜角化棘皮瘤。据我们所知，这是首例记录结膜角化棘皮瘤从诊断到手术切除的5周时间内出现部分自发消退的病例。
