A rare case of conjunctival myxoma and a review of the literature.
BACKGROUND
To report on an 11-year-old boy with a painless slow-growing temporal bulbar conjunctival mass of his left eye.


METHODS
A case report and review of the literature.


RESULTS
An 11-year-old boy presented with a painless slow-growing mass in the temporal bulbar conjunctiva of his left eye, which had been noted for 1 year. After ophthalmic and systemic evaluations, the clinical differential diagnosis at the time included amelanotic naevus, amelanotic melanoma, myxoma, fibrous histiocytoma, reactive lymphoid hyperplasia and lipoma. This lesion was excised under local anaesthesia. From the histopathological features, conjunctival myxoma was confirmed. After 12 months, the patient remained healthy, with no recurrence or metastasis of the conjunctival lesion or evidence of a systemic abnormality.


CONCLUSIONS
We report this case to emphasize that conjunctival myxoma can appear as a well-circumscribed, translucent, yellow-pink conjunctival mass in teenage patients. Successful healing is usually achieved by complete surgical resection. Cardiac, endocrine, and family screening is required to reduce the risk of morbidity and mortality.
Chen
Ching-Long
CL
Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Tai
Ming-Cheng
MC
Chen
Jiann-Torng
JT
Chen
Chiao-Hong
CH
Jin
Jong-Shiaw
JS
Lu
Da-Wen
DW
D002648:Child; D003230:Conjunctival Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009232:Myxoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D035583:Rare Diseases / Q000175:diagnosis