| A Case of Isolated Conjunctival Lymphangioma Mimicking a Recurrent Conjunctival Cyst. |
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Jehwi Jeon, Chan Ho Cho, Sang Bumm Lee |
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Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. sbummlee@ynu.ac.kr |
| 재발 결막낭종처럼 보이는 단독 결막림프관종 1예 |
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전제휘⋅조찬호⋅이상범 |
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영남대학교 의과대학 안과학교실 |
Correspondence:
Sang-Bumm Lee
Email: sbummlee@ynu.ac.kr |
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Received: 26 April 2018 • Revised: 11 May 2018 • Accepted: 26 June 2018 |
| Abstract |
PURPOSE
To report a case of isolated conjunctival lymphangioma mimicking a recurrent conjunctival cyst. CASE SUMMARY: A 39-year-old male with a conjunctival cyst in the right eye lasted for 1 month visited our hospital. He had previously undergone aspiration of the cyst at another hospital 1 week before visiting our hospital. However, the cyst recurred, and he was referred to our hospital. On slit lamp biomicroscopy, yellow-colored turbid fluid and a hemorrhage were observed in the conjunctival cyst, but no specific finding was found in the fundus photography. The patient was initially treated with topical antibiotics and steroids. Three weeks later, absorption of the hemorrhage was noted, but there was no change in the size of the cyst. Therefore, surgical removal and histological examination of the cyst were performed. The histological examination revealed that the lesion was positive for CD 31 and D2-40, and the cyst was diagnosed as a cystic conjunctival lymphangioma. Thereafter, brain magnetic resonance imaging was performed to screen for orbital lymphangioma and systemic disease that could accompany a conjunctival lymphangioma. However, no specific findings were observed. There was no recurrence of the conjunctival cyst at 1 year and 6 months after surgical removal, and no other ophthalmic or systemic complication was observed. CONCLUSIONS: An isolated conjunctival lymphangioma is a rare lesion. In the diagnosis of lymphangioma, systemic examination is recommended for the identification of comorbid diseases, such as orbital lymphangioma. |
| Key Words:
Conjunctival cyst;D2-40 immunohistochemical staining;Isolated lymphangioma |
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