Case Report of Nodular Fasciitis in the Conjunctiva.

Kim, Jin ho; Na, Kyung Sun; Park, Chang hyun; Lee, Seung Jin; Oh, Tae Hoon; Kim, Hyun Seung

doi:2020.61.3.303

J Korean Ophthalmol Soc > Volume 61(3); 2020 > Article

Case Report

Journal of the Korean Ophthalmological Society 2020;61(3):303-306.
DOI: https://doi.org/10.3341/jkos.2020.61.3.303 Published online March 15, 2020.

Case Report of Nodular Fasciitis in the Conjunctiva.

Jin ho Kim, Kyung Sun Na, Chang hyun Park, Seung Jin Lee, Tae Hoon Oh, Hyun Seung Kim

¹Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. sara514@catholic.ac.kr
²Jalbonun St. Mary's Eye Clinic, Seoul, Korea.

결막에 발생한 결절근막염 1예

김진호¹⋅나경선¹⋅박창현¹⋅이승진²⋅오태훈²⋅김현승¹

가톨릭대학교 의과대학 안과학교실¹, 잘보는성모안과²

Correspondence: Hyun Seung Kim,
Email: sara514@catholic.ac.kr

Received: 4 April 2019 • Revised: 9 September 2019 • Accepted: 21 February 2020

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.

Key Words: Conjunctival mass;Conjunctival neoplasms;Nodular fasciitis