[Neoplasms of the caruncle. Clinicopathologic study of 40 cases]. / Tumores de carúncula. Estudio clínico-patológico de 40 casos.

PURPOSE: To determine the type and frequency of the neoplasms on the lachrymal caruncle and to compare the results with other published case series. METHODS: Retrospective study of forty cases of lesions of the lachrymal caruncle, surgically treated during a 13-year period (1991-2003) are presented. There were 19 females and 21 males. The mean age was 42.1, SD 19.5 years. RESULTS: Ten different histopathologic types of lesions were found. The most frequent lesion was the nevus (40%), and the second, the papilloma (30%). Thirty-seven neoplasms (92.5%) were benign, 2 (5%) premalignant and 1 (2.5%) malignant. The clinical diagnosis was accurate in 87.5% of the cases. CONCLUSION: In this case series, we confirm the low frequency of caruncular neoplasms as well as the wide variety of histopathologic types found in this location. There was a wide range of ages and we did not find any evident sex predominance. Malignant lesions were uncommon, with only one case of basal cell carcinoma. Our results are similar to those of other case series.

Tumores de carúncula: Estudio clínico-patológico de 40 casos / Neoplasms of the caruncle clinicopathologic study of 40 cases

Objetivo: Determinar el tipo y frecuencia de las lesiones que se pueden presentar en la carúncula lagrimal y comparar los resultados con otras series publicadas. Métodos: Estudio retrospectivo sobre 40 casos de lesiones de carúncula tratadas quirúrgicamente de forma consecutiva durante un periodo de 13 años (1991-2003). Diecinueve eran mujeres y 21 hombres. La edad media fue de 42,1 DE 19,5 años. Resultados: Se encontraron 10 tipos histológicos diferentes de lesiones. La lesión más frecuente fue el nevus (40%) y la segunda el papiloma (30%). Su naturaleza fue benigna en 37 casos (92,5%), premaligna en dos (5%) y maligna en una (2,5%). El diagnóstico clínico fue correcto en el 87,5% de los casos. Conclusiones: En esta serie comprobamos la baja frecuencia de las lesiones de la carúncula así como la gran variedad de tipos histológicos. Encontramos un amplio rango de edad pero no una clara predominancia según el sexo. Las lesiones malignas fueron excepcionales y sólo hubo un caso de carcinoma de células basales. Nuestros resultados fueron similares a los de otras series(AU)

Purpose: To determine the type and frequency of the neoplasms on the lachrymal caruncle and to compare the results with other published case series. Methods: Retrospective study of forty cases of lesions of the lachrymal caruncle, surgically treated during a 13-year period (1991-2003) are presented. There were 19 females and 21 males. The mean age was 42.1, SD 19.5 years. Results: Ten different histopathologic types of lesions were found. The most frequent lesion was the nevus (40%), and the second, the papilloma (30%). Thirty-seven neoplasms (92.5%) were benign, 2 (5%) premalignant and 1 (2.5%) malignant. The clinical diagnosis was accurate in 87.5% of the cases. Conclusion: In this case series, we confirm the low frequency of caruncular neoplasms as well as the wide variety of histopathologic types found in this location. There was a wide range of ages and we did not find any evident sex predominance. Malignant lesions were uncommon, with only one case of basal cell carcinoma. Our results are similar to those of other case series(AU)