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Arch Ophthalmol. 1999;117:685-687.

We report the clinical and pathological findings in a case of malignant fibrous histiocytoma in the conjunctiva of a 60-year-old man. The patient initially had an atypical limbal lesion, resembling a pterygium, which was excised. Two local recurrences, noted during the following year, were treated by surgical excision followed by cryotherapy. Histopathologic examination of the conjunctival lesions showed a stromal neoplastic infiltrate composed of atypical spindle cells and histiocytelike cells. The immunohistochemical and ultrastructural studies suggested that the tumor was composed of various cellular elements: fibroblasts, myofibroblasts, and histiocytes.

Guy S. Allaire, MD, FRCPC; Christine Corriveau, MD, FRCSC; Nathalie Teboul, MD, FRCSC
From the Departments of Pathology (Dr Allaire) and Ophthalmology (Drs Corriveau and Teboul), Centre Hospitalier de l'Université de Montréal (Campus Notre-Dame), Montreal, Quebec.

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