Instituto Nacional de Oftalmología "Dr. Francisco Contreras Campos", Lima, Perú.
Universidad Peruana Cayetano Heredia, Lima, Perú.
Arq Bras Oftalmol. 2024 Mar 22;87(3):e20220357. doi: 10.5935/0004-2749.2022-0357. eCollection 2024.
We present a rare case of primary caruncle basal cell carcinoma (BCC), a condition with limited occurrences. Our patient, an 80-year-old woman without prior ocular pathological history, presented a 2x2mm pedunculated blackish nodular lesion on the caruncle of her left eye, without local conjunctival or cutaneous involvement. Histological analysis following complete excision confirmed the presence of basal cell carcinoma within the caruncle. Over a span of 30 months, no recurrence has been observed. While scant cases are documented in the literature, we conducted a review of these instances. Despite its infrequent manifestation, this condition should be taken into account when evaluating caruncular tumors, given its tendency to invade the orbit. Complete excision with free surgical margins is the treatment of choice, and adjuvant radiotherapy or chemotherapy might be considered.
我们报告了一例罕见的原发性穹隆基底细胞癌（BCC），这种情况的发生率有限。我们的患者是一位 80 岁的女性，没有眼部病理病史，左眼穹隆部出现一个 2x2mm 的带蒂黑褐色结节状病变，无局部结膜或皮肤受累。完全切除后的组织学分析证实了穹隆部存在基底细胞癌。在 30 个月的时间里，没有观察到复发。尽管文献中有少量病例报道，但我们对这些病例进行了回顾。尽管这种情况很少见，但在评估穹隆部肿瘤时应考虑到这种情况，因为它有侵犯眼眶的倾向。彻底切除并游离手术边缘是首选的治疗方法，辅助放疗或化疗可能是需要考虑的。
