Conjunctival Myxoma-A Case Report

Summary of article contents:

Introduction

Ocular myxomas are rare neoplasms that originate from primitive mesenchyme, usually benign in nature. The most well-known is cardiac myxoma, but these tumors can also appear in other tissues, including the ocular region. Among them, conjunctival myxomas are particularly rare, and they can be misdiagnosed as other lesions, such as amelanotic nevi or cysts. This report documents a case of conjunctival myxoma in a 33-year-old male, which was initially diagnosed as a conjunctival cyst but was confirmed through histopathological examination.

Histopathological Features of Conjunctival Myxoma

Histopathological analysis revealed the conjunctival myxoma consisted of spindle and fusiform cells arranged in a loose myxoid stroma, with evidence of cystic changes. Notably, the tumor presented intracytoplasmic and intranuclear inclusions, along with a few giant cells and mast cells. This distinct cellular morphology and tissue structure differentiate conjunctival myxomas from other conjunctival lesions. Additionally, the presence of cystic components and specific cell types in this benign tumor underscores the necessity for accurate diagnosis and management.

Conclusion

In conclusion, conjunctival myxomas are uncommon ocular lesions that require careful assessment to distinguish them from a range of clinical mimics. Complete excision remains the primary treatment approach, as potential recurrences are rare. Furthermore, the existence of conjunctival myxomas may signal underlying conditions or syndromes, necessitating comprehensive clinical evaluation. This case illustrates the importance of recognizing the distinct histological features of conjunctival myxomas for timely diagnosis and appropriate patient management.