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Benign Fibrous Histiocytoma of the Corneoscleral Limbus: Unique Clinicopathologic Features
Arch Ophthalmol. 2003;121:1776-1779.
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A benign fibrous histiocytoma (BFH) involving the limbus is a rare type of tumor. We describe 2 patients with unique clinicopathologic features that, to our knowledge, have not previously been described.
Report of Cases.
Case 1. A 26-year-old white woman was referred to us because of an enlarging mass in the left inferonasal limbus. The lesion had been excised at another institution but recurred 6 weeks postoperatively. On examination, her best-corrected visual acuity was 20/20 OD and 20/60 OS due to irregular astigmatism. The right eye was normal. The left eye revealed a yellow limbal mass between the 7:30 and 10-o'clock meridians, with marked corneal involvement (Figure 1A). Gonioscopy showed no intraocular involvement; however, the lesion reached the deep corneal stroma without breaching the Descemet membrane. The patient was systemically well. A 10-mm-diameter en bloc excision with a tectonic corneoscleral graft was performed. After more than 9 years of follow-up, . . . [Full Text of this Article]
Comment.
R. M. Conway, MD, PhD;
Leonard M. Holbach, MD;
Gottfried O. H. Naumann, MD
Erlangen, Germany
R. Max Conway, MD, PhD
Sydney, Australia
Corresponding author and reprints: R. M. Conway, MD, PhD, Department of Ophthalmology and Eye Hospital, University Erlangen-Nürnberg, Schwabachanlage 6, D-91054 Erlangen, Germany (e-mail: rmaxconway@hotmail.com).
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