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Case Study: May 2016
History
A 20 year old male presents with a pink, vascular, enlarging lump on the lateral bulbar conjunctiva.
There is a concern for malignancy. The lesion is excised.
Questions
1. What does Fig 1 show?
2. What features are seen in Fig 2 and 3?
3. What is the favoured diagnosis?
4. With which condition is this diagnosis strongly correlated?
Answers
1. Melanocytic lesion with a discohesive junctional component.
2. Inflammatory cells-lymphocytes and eosinophils admixed with naevus-type cells.
3. This is an inflamed compound juvenile naevus (ICJN).
4. Ocular surface allergies is the classical association.
Reference
Zamir E, Mechoulam H, Micera A, Levi-Schaffer F, Pe’er J.Inflamed juvenile conjunctival naevus: clinicopathological characterisation.Br J Ophthalmol. 2002; 86: 28-30
