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Case Report of Nodular Fasciitis in the Conjunctiva
결막에 발생한 결절근막염 1예
JKOS 2020 Mar;61(3):303-6
Published online March 15, 2020;  https://doi.org/10.3341/jkos.2020.61.3.303
Copyright © 2020 The Korean Ophthalmological Society.
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Jin-ho Kim, MD1, Kyung Sun Na, MD, PhD1, Chang-hyun Park, MD1, Seung Jin Lee, MD2, Tae Hoon Oh, MD2, Hyun Seung Kim, MD, PhD1
김진호1⋅나경선1⋅박창현1⋅이승진2⋅오태훈2⋅김현승1

Department of Ophthalmology, College of Medicine, The Catholic University of Korea1, Seoul, Korea
Jalbonun St. Mary's Eye Clinic2, Seoul, Korea
가톨릭대학교 의과대학 안과학교실1, 잘보는성모안과2
Received April 4, 2019; Revised September 9, 2019; Accepted February 21, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: We report a case of nodular fasciitis of the conjunctiva that has not been previously reported in the Republic of Korea.
Case summary: A 18-year-old female patient presented with a left conjunctival mass, which had been enlarging for 1 month. The tumor was located at the corner of the conjunctiva of the left eye. The size of the tumor was 1 mm in width and 1.5 mm in height, and tenderness and redness were not observed. There was no history of trauma, but bilateral upper lid blepharoplasty was performed 2 months prior to her visit. Excision of a conjunctival mass was performed and there was no evidence of involvement of the sclera or peripheral conjunctiva around the mass. We performed immunohistochemistry and PCR for human herpes virus 8 (HHV8). Immunohistochemistry was positive for S-100 and negative for smooth muscle actin and HHV8. The mass was myofibroblastic in nature and the histopathological features and clinical findings of this case were diagnosed as nodular fasciitis with the features as described above. There was no recurrence for 4 months after removal of the mass.
Conclusions: Because the treatments and prognoses of malignant tumors or other inflammatory diseases such as nodular scleritis and nodular fasciitis are quite different, differentiation from these diseases is considered an important factor in the diagnosis of nodular fasciitis.
Keywords : Conjunctival mass, Conjunctival neoplasms, Nodular fasciitis

 

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