Case Study: March 2014
- A 16 year old male presents with a red oval lesion on the medial bulbar conjunctiva.
- The lesion is removed. See Figures.
- Is the lesion benign or malignant?
- What is it composed of?
- What is the diagnosis?
- What is its pathogenesis?
Click to show answers
- Benign-well defined at low power and bland cytology.
- Back to back glands composed of benign epithelium.
- This is a benign dacryoadenoma of the bulbar conjunctiva.
- It is thought to be derived from surface epithelium and develop glandular lobules similar to lacrimal gland.
- Reference: Jakobiec et al Dacryoadenoma. A unique tumour of the conjunctival epithelium. Ophthalmology 1989;96:1014-1020