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   Table of Contents      
CASE REPORT
Year : 1987  |  Volume : 35  |  Issue : 3  |  Page : 158-159

Pigmented squamous cell papilloma-a case report


Deptt of Ophthalmology, LLRM Medical College, Meerut, U.P, India

Correspondence Address:
Arun Mathur
Deptt of Ophthalmology, LLRM Medical College, Meerut, U.P
India
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Source of Support: None, Conflict of Interest: None


PMID: 3507413

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  Abstract 

A rare case probably the first to be reported of pigmented squamous cell papilloma arising from the lower lid is presented.


How to cite this article:
Mathur A, Mehrotra M L, Gupta A. Pigmented squamous cell papilloma-a case report. Indian J Ophthalmol 1987;35:158-9

How to cite this URL:
Mathur A, Mehrotra M L, Gupta A. Pigmented squamous cell papilloma-a case report. Indian J Ophthalmol [serial online] 1987 [cited 2019 Aug 20];35:158-9. Available from: http://www.ijo.in/text.asp?1987/35/3/158/26191


  Introduction Top


The occurrence of pigmented papilloma or verruca senilis in the eye is rare and may be the precursor of carcinoma. In view of the rarity and interesting clinical presentation the case is being reported.


  Case Report Top


A 52 years male patient was admitted with a pedunculated oval growth, 1 cm in size, hanging out from the middle of the right lower lid margin, causing ectropion grade II [Figure - 1]. It was firm, non tender, and the overlying skin showed ulceration. This growth was present for the last 30 years but had grown to its present size over the last two years Regional Lymph nodes were not enlarged and conjunctiva was normal Excision biopsy was done with 2-3 m. m normal surrounding skin and histopathological examination was carried out

The microscopic examination showed abruptly thickened squamous epithelium enclosing nests of laminated keratin [Figure - 2]a resulting from focal irregular maturation of squamous cells The surrounding cells were focally pigmented with firm brown granules of melanin and superficially resembled basal cells The tumour was unduly cellular and showed atypia but no evidence of malignancy (Fgure 2]b.

In this case the histopathological features are similar to the one discussed in verruca senilis and are in corroboration with biological behaviour of the tumour. No recurrence has occurred so far.


  Discussion Top


Benign epithelial neoplasma producing micro­scopically or macroscopically visible finger like or warty projections from epithelial surfaces are referred to as papillomas They favour sites where epithelium undergoes transition In eyes papilloma can occur at limbus or lid margin. Usually papilloma arises from the basal cells but rarely it may be formed by the proliferation of squamous cells. The term verruca senilis for such pigmented papilloma is not very appropriate as this can occur at younger age.[4]

 
  References Top

1.
A R Reese, Tumours of the eye, Harper & Row Publishers, Inc Maryland, 1976, 55  Back to cited text no. 1
    
2.
J.R. Anderson, Muir's Text Book of Pathology, E L R s., 1982, 323  Back to cited text no. 2
    
3.
Robbins, Cotran, Kumar, Pathologic Basis of Disease, W.B. Saunders Co., Philladelphia, 1984, 215  Back to cited text no. 3
    
4.
W.F. Lever, G.S. Lever, Histopathology of skin, J.B. Lippincott Co., Philladelphia, 1983, 499  Back to cited text no. 4
    


    Figures

  [Figure - 1], [Figure - 2]



 

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Discussion
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