Oncocytic lesions of the caruncle and other ocular adnexa
S. L. Biggs and R. L. Font
This is a clinicopathologic study of 18 oncocytic lesions involving the
ocular adnexa. These lesions most commonly occur in elderly patients
(median age 73), and there is a striking predilection for women. The broad
spectrum of lesions included oncocytic adenomatous hyperplasia,
oncocytomas, and oncocytic carcinoma. Ten lesions, all of which were
oncocytomas, involved the caruncle, four the conjunctiva, and one the
mucocutaneous junction of the eyelid. Two tumors involved the lacrimal sac
and one the lacrimal gland. A review of the literature disclosed only 17
previously reported oncocytic lesions of the ocular adnexa. A small
yellowish-tan or reddish caruncular mass, especially in an elderly woman,
should alert the ophthalmologist to consider the possibility of oncocytoma
in his differential diagnosis.
