[Recurrent pterygium over 15 years: epibulbar cartilaginous findings].
BACKGROUND
Epibulbar and extraocular cartilage bearing tumors in adults are extremely rare.


METHODS
A nasally located pterygium in a 24-year-old patient was excised and recurred over the ensuing 15 years six times requiring local excisions, and each time a histological diagnosis of pterygium was made. Only a curative excision including a biopsy of the insertion of the m. rectus medialis and a sclerokeratoplasty revealed the tumor to bear cartilage histologically in an unusual place. A Ruthenium-106 brachytherapy was followed by a triple procedure for visual rehabilitation, and no further recurrences were observed.


CONCLUSIONS
The differential diagnosis of a cartilaginous tumor most likely a choristoma growing in an unusual localisation should be considered in adults suffering from recurrent pterygia without known physical risk factors, and a curative excision be performed. Further treatment options depend on the appearance of the tumor.
Augenklinik mit Poliklinik des Universitätskrankenhauses Eppendorf, Hamburg.
A A
AA
Bialasiewicz
R
R
Wiezorrek
G
G
Richard
D000328:Adult; D001918:Brachytherapy; D002356:Cartilage; D002828:Choristoma / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D003229:Conjunctival Diseases / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D011625:Pterygium / Q000473:pathology* / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D012008:Recurrence; D012086:Reoperation
Rezidivierendes "Pterygium" über 15 Jahre: epibulbärer knorpelhaltiger Befund.