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August 1965

Granuloma Pyogenicum of LimbusSimulating Recurrent Squamous Cell Carcinoma

Author Affiliations

Washington, DC
From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology. Former Special Fellow, NINDS Grant at the Armed Forces Institute of Pathology (Dr. Ferry); Chief, Ophthalmic Pathology Branch, Armed Forces Institute of Pathology (Dr. Zimmerman).

Arch Ophthalmol. 1965;74(2):229-230. doi:10.1001/archopht.1965.00970040231019

It is becoming increasingly apparent that squamous cell carcinoma of the cornea and conjunctiva can usually be treated satisfactorily by means short of removal of the eye.1,2 The case report that follows is presented primarily to point out two errors that may be made in the clinical management of patients with this disease.

Report of Case  An 83-year-old white man consulted his ophthalmologist because of a limbal lesion of the left eye. The lesion had first been noted by the patient about a year previously and had slowly increased in size in the interim. Except for moderate nuclear sclerosis of the lens, the eye was otherwise normal.The limbal lesion was excised; microscopically it was interpreted as a squamous cell carcinoma in situ (Fig 1). Subsequently, a mass recurred at the excision site and gradually increased in size. The eye was enucleated six weeks after the initial procedure on

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