J Korean Ophthalmol Soc > Volume 53(7); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(7):918-923.
DOI: https://doi.org/10.3341/jkos.2012.53.7.918    Published online July 15, 2012.
Clinical Features and Treatment of Peripunctal Tumors.
Ji Young Suh, Hye Mi Jung, Hee Bae Ahn, Moo Hyun Kim
1Department of Ophthalmology, Dong-A University, College of Medicine, Busan, Korea. hbahn@dau.ac.kr
2Dong-A University Medical Center Regional Clinical Trial Center, Busan, Korea.
눈물점 근처 종양의 임상양상과 치료
Department of Ophthalmology, Dong-A University, College of Medicine1, Busan, Korea
Dong-A University Medical Center Regional Clinical Trial Center2
To investigate the clinical features and treatment results in peripunctal tumors. METHODS: A retrospective medical record review was conducted on patients that were clinically diagnosed with peripunctal tumor from October 2005 to June 2011 in Dong-A University Hospital. RESULTS: Twenty nine peripunctal tumors were identified. Five cases (17.2%) were involving upper eyelid and 22 cases (75.9%) were involving lower eyelid. Two cases (6.9%) were involving both upper and lower eyelid, which one of them were involving the conjunctiva as well. One of the patients (3.5%), underwent simple observation without surgery. Simple surgical resection and biopsy were performed in 7 cases (24.1%), and additional silicone tube intubation or Minimonoka insertion were carried-out in 21 cases (72.4%). Histology revealed 15 cases (53.6%) of melanocytic nevus, 5 cases (17.9%) of basal cell carcinoma, 2 cases (7.1%) of seborrheic keratosis, and others including malignant melanoma, squamous papilloma, epidermal cyst, and et cetra. CONCLUSIONS: In conclusion, Peripunctal tumors are mostly found on the lower lids and, they are surgical resection and biopsy should be considered in all cases of peripunctal tumors since they have a potential for spreading to the lacrimal system. It is advised to perform a silicone tube intubation or minimonoka insertion along with the surgical excision to preserve the function of the punctum.
Key Words: Peripunctal nevus;Peripunctal tumor

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