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Indian Journal of Pathology and Oncology

Ocular caruncular lesions: A clinicopathological study

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Author Details: Chandrashekhar TN, Sateesh Chavan S

Volume : 4

Issue : 4

Online ISSN : 2394-6792

Print ISSN : 2394-6784

Article First Page : 511

Article End Page : 516


Introduction: A pink oval structure, the ocular caruncle is a modified cutaneous tissue located at the inner canthus of the eye, medial to the plica semilunaris. By virtue of its tissue diversity, ocular caruncle can give rise to a wide variety of lesions including both non neoplastic and neoplasic and although most of them are benign, clinical diagnosis may be difficult.
Aim: To study the incidence and describe clinical and histopathological features of ocular caruncular lesions.
Materials and Method: This is a retrospective study of ocular caruncular lesions from the archives from 2006 to 2010 were analyzed both clinically and histopathologically.
Results: A total of 22 lesions were analyzed. Thirteen (59.09%) of the patients were women and 9 (40.90%) were men and the age range from 25 to 67years. The main diagnoses were: inflammatory lesions (11 cases), epithelial lesions/tumors (8 cases), melanocytic lesions (2 cases), and a lymphoid lesion (one case). Out of 22 cases, preoperative clinical diagnosis was concordant with histopathological evaluation in 16 cases (72.72%). Most common caruncular lesions were chronic inflammatory followed by epithelial lesions/tumors and melanocytic lesions. Although most of the lesions were benign, clinically most of the lesions are disguising in nature.
Conclusion: Ocular caruncular lesions are most commonly inflammatory, less common lesions being epithelial and melanocytic lesions. Some benign lesions are clinically overestimated as ‘malignant’ and some malignant lesions are underestimated as ‘benign’, justifying close pathological work-up of all lesions.

Ocular caruncle