Abercrombie,Conjunctiva surface papilloma in 1 cas

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Conjunctiva face huge papilloma in 1 case

Key words corneal and conjunctival surface; papilloma
Eye is the human papilloma papilloma virus (HPV) infection caused by a proliferation of primary epithelial lesions that often appears the eyelids and skin around the eyes common warts, flat warts and papilloma [1 , 2]. Rapid growth, but the tumor is huge and rare diseases affecting the cornea [3]. 1 patient admitted to our department the right eye conjunctival papilloma huge surface, after surgical resection,[link widoczny dla zalogowanych], followed up for 2 months,[link widoczny dla zalogowanych], recovered well, and no tumor recurrence, are as follows.
1 medical record
Patients, female, 73 years old, farmer. Right eye grows new biotechnology for 1 year, decreased vision caused by increased half a year, on 16 July 2008 hospitalization. Retrospective medical history, patients who underwent right eye four years ago outside the tumor resection,[link widoczny dla zalogowanych], postoperative pathological diagnosis of papilloma of the right eye. 1 year ago, found the right eye re-grow new organisms, without making special treatment. 6 months ago, the rapid increase of the tumor, blocking the right eye to vision loss. Currently right eye can not look at things, then received treatment in our department. New patient to the right corneas of biological (nature to be determined) admitted to hospital. Admission examination: general condition good. Specialized examination, VOD: NLP,[link widoczny dla zalogowanych], VOS: 0.5 (+1.25 DS × 10 ° → 0. Cool

. Intraocular pressure: the right eye undetectable. Left eye 19 mm Hg. Lax right eye closed palpebral fissure was filled with pink new biotechnology (Figure 1). Conjunctiva were covered mass, the cornea can not peep and, the eyes of unknown status. Table anesthesia Discovery root mass attached to the corneal surface of the pedicle, beyond the temporal limbus, the growth in the conjunctival surface. Acute conjunctival hyperemia, limbal conjunctival blood vessels dilated to 4 to 5 times the normal diameter, tortuous, filling. Lobulated cauliflower tumor under the microscope, the tumor showed a cluster of vascular growth. Tumor crisp, touch of painless, easy bleeding. Left eye was normal. Submandibular lymph nodes and no palpable preauricular lymph node enlargement. Auxiliary examination: fasting blood glucose 10.35 mmol / L. Admission diagnosis: (1) conjunctival new biological (nature to be determined); (2) refractive error (+);( 3) diabetes. Admission control of your diabetes medicine consultation in the perioperative use of insulin to control blood sugar, maintaining blood glucose 4.9 ~ 8.3 mmol / L. On July 18, 2008, and the ball in the right eye after topical anesthesia block anesthesia in the right eye conjunctival tumor excision. Surgery, the tumor completely cover the root of the pedicle of the temporal side of the cornea and conjunctiva, tumor growth was cauliflower, crisp, easy bleeding. Limbal see a number of enlargement from the conjunctival blood vessels nourishing like filling into the tumor. After tumor resection, see most of the loss of corneal surface epithelial cells,[link widoczny dla zalogowanych], corneal transparency, and no infiltration. Old temporal conjunctival scars. Total excision of the tumor, the tumor size measured 20 mm × 15 mm (Figure 2). And removal of limbal bulbar conjunctiva 2 mm outside, burning close thickening blood vessels, scleral surface exposure without making processing. Mass sent to pathology examination. Pathological examination (Figure 3) results: the right corneal squamous cell papilloma (tumor cells with mild atypia, tumor basal clear boundaries). Systemic and local administration of drugs to prevent infection in his right eye treatment, local plus bFGF to promote epithelial growth. The first postoperative day, visual acuity LP, intraocular pressure Tn. Anterior chamber was normal, dilated fundus examination, no abnormalities. Amended diagnosis: (1) the right eye with recurrent corneal and conjunctival squamous cell papilloma; (2) refractive error (+);( 3) diabetes. July 29, suffering from visual acuity: CF/10 cm. IOP Tn. Corneal surface of the skin and in good repair skin exposed to the surface of the sclera. Switch to medical treatment of diabetes, our department follow-up. On July 31 from a medical discharge. Well regular follow-up. September 25, 2008 the third follow-up, VOD: 0.2 (-2.50 DS × 15 ° → 0. Cool

, VOS: 0.5 (+1.25 DS × 10 ° → 0. Cool

. Mild conjunctival surface scar. Corneal transparency, corneal surface of the skin completely the growth of coverage. No growth of tumor recurrence (Figure 4).

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