Known causes of conjunctival salmon patches include lymphoma, amyloidosis, sarcoidosis, relapsing polychondritis, leukemia, and benign reactive lymphoid hyperplasia. Conjunctival lymphoma is an ocular surface tumor that usually appears as a. The biopsy confirmed lymphoma conjunctival lymphoma in the right eye of a patient. Surgical biopsies of the salmon patch conjunctival mass and bone marrow, as well as.
While benign, complex choristomas are grossly indistinguishable from malignant. The differential diagnosis for an elevated salmoncolored conjunctival patch most commonly includes benign lymphoid hyperplasia and conjunctival lymphoma. Diagnosis and treatment of conjunctival lymphoma american. Classification, diagnosis, and management of conjunctival lymphoma. The etiology is unknown but is thought to be due to chronic inflammation. To report clinical, histopathological and molecular features of salmon patchlike conjunctival lesions in paediatric and adolescent patients, and discuss management of these patients and outcome. These lesions are usually primary extranodal bcell neoplasms, although 10 to 30. A complex choristoma presenting as a salmon patch lesion in the. He associated the lesion with the onset of a red eye and episodic foreign body. Paediatric and adolescent elevated conjunctival lesions in. The lesion often has a color similar to salmon, hence the term salmon patch. An unusual presentation of pediatric conjunctival mucosa. Distinct clinical clues may be suggestive of a subtype, such as emzl demonstrating a mobile, nonlobulated salmonpink patch or follicular lymphoma demonstrating a multinodular appearance. Bulbar involvement is more common, usually more easily recognized, and is associated with a better prognosis than malt lymphoma of the palpebral conjunctiva.
Purpose we describe a rare case of a complex choristoma appearing as a salmonpatch lesion in the nasal conjunctiva. Conjunctival malt lymphoma characteristically manifests as a painless fleshycoloured salmonpatch lesion arising from the fornix. A conjunctival cyst is a cyst on your conjunctiva, which is a clear membrane covering your outer eye. The photograph shows a pink raised conjunctival lesion with an. We report a 70yearold man with a salmon patch conjunctival mass diagnosed as multiple myeloma. An excisional biopsy was performed utilizing a notouch technique, given the possibility of a malignant lesion, with removal of the conjunctival tumor and placement of an amniotic membrane graft. On exam, conjunctival lesions are classically described as salmon patch fleshy lesions. The patient population usually includes young to middle aged adults and the presenting sign is usually chronic redness 3. A, clinical photograph of the classical salmonpatch conjunctival. It usually presents as a salmonpink nodular patch involving the bulbar conjunctiva. The lesions of diffuse large b cell lymphoma may have a grayish coloration. Conjunctival malt lymphoma characteristically manifests as a painless fleshy coloured salmonpatch lesion arising from the fornix 6. If there is a conjunctival component, or if the lesion extends onto the globe, it can be seen as a salmon patch lesion on or under the conjunctiva as shown above.
Download scientific diagram a, clinical photograph of the classical salmonpatch conjunctival lymphoma. Although it generally has a smooth surface, it can also appear as a multinodular lesion or as follicular conjunctivitis fig. Classification, diagnosis, and management of conjunctival. Slit lamp image of right eye with salmon patch conjunctival lesion in the superior temporal conjunctiva. A complex choristoma presenting as a salmon patch lesion.
Conjunctival lymphoma is an ocular surface tumor that usually appears as a painless, salmonpink, fleshy patch. It commonly occurs in the forniceal conjunctiva, appearing. Physical examination revealed the presence of a pink salmonpatch. To report clinical, histopathological and molecular features of salmon patchlike conjunctival lesions in paediatric and adolescent patients, and discuss management of.
The clinical presentation of conjunctival malt lymphomas is non. In this report, the salmon patch conjunctival mass was an initial manifestation of multiple myeloma, but based on the results of bone marrow biopsy, and hematologic and image. A glistening salmon patch lesion in the bulbar conjunctiva. This cyst often looks like a clear bubble on the surface of the eye. A conjunctival lymphoid tumor is classically described as having a salmon patch appearance clinically. Examination of the lower mediobulbar and forniceal conjunctiva of the left eye of a 37yearold female patient showed a typical salmon pink patch. These lesions are fleshy and often originate the fornix or adjacent to the limbus. Conjunctival malt lymphoma characteristically manifests as a painless fleshycoloured salmonpatch lesion arising from the fornix 6.