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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 6-8

Mendacious conjunctival lesions – A tale of two cases

1 Department of Ophthalmology, Shri Lal Bahadur Shastri Govt. Medical College, Ner Chowk, Himachal Pradesh, India
2 Department of Ophthalmology, Dr. Rajendra Prasad Govt. Medical College, Tanda, Himachal Pradesh, India

Correspondence Address:
Deepak K Sharma
Department of Ophthalmology, Shri Lal Bahadur Shastri Govt. Medical College, Mandi, Ner Chowk - 175 021, Himachal Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1848_22

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Presentation of conjunctival tumors ranges from benign lesions like pinguecula and pterygium to highly malignant tumors of melanocytic, lymphoid, and stratified squamous epithelium origin. A 30-year-old female presented with two brown-colored conjunctival lesions in her left eye extending from medial canthus to limbus. Lesions were excised and subjected to histopathologic examination (HPE), which came out to be pigmented squamous cell papilloma, a rare conjunctival lesion having potential to convert to malignancy. Another 50-year-old female presented with pinguicula-like lesions in both her eyes along with maculopapular rash on her forehead. Conjunctival lesions were completely excised HPE, revealed Spiegler–Fendt sarcoid, also known as lymphocytoma cutis, along with conjunctival tumor of lymphocytic origin. Spiegler–Fendt sarcoid is usually a benign lesion with potential for systemic involvement requiring holistic approach for the management of such patients.

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