J Korean Ophthalmol Soc.  2024 Feb;65(2):157-160. 10.3341/jkos.2024.65.2.157.

A Case of MALToma Masquerading as a Lacrimal Caruncular Granuloma

Affiliations
  • 1Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea
  • 2Department of Pathology, Chonnam National University Medical School, Gwangju, Korea

Abstract

Purpose
To report a case of mucosa-associated lymphoid tissue lymphoma (MALToma) that presented as a lacrimal caruncular granuloma.
Case summary
A 38-year-old woman presented with a mass in the right lacrimal caruncle and had a history of incision and drainage. Examination revealed a 4-mm elevated mass at the lacrimal caruncle, which resembled a granuloma. The mass was excised under local anesthesia and a MALToma was diagnosed based on the histopathological examination.
Conclusions
Although rare, a MALToma can present as a granuloma-like lacrimal caruncular mass. Excision and biopsy of the lacrimal caruncular mass are essential to obtain a definitive diagnosis.

Keyword

Biopsy, Conjunctival neoplasm, MALToma
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