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[Progressive peripunctal nevus in an adult].

I B Frisch1, H E Völcker, S Dithmar

  • 1Universitäts-Augenklinik Heidelberg. inez.frisch@HSK-Wiesbaden.de

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|June 24, 2003
PubMed
Summary

This study reports a rare case of a growing conjunctival nevus in a 70-year-old patient. The unusual enlargement at an advanced age highlights the importance of monitoring such growths.

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Area of Science:

  • Ophthalmology
  • Dermatology
  • Pathology

Background:

  • Nevi (moles) originate from melanocyte migration into the epithelium and typically mature over time.
  • Significant growth of nevi in adults is uncommon; changes are usually limited to thickness variations due to inflammation or fibrosis.

Observation:

  • A 70-year-old patient presented with a growing tumor near the punctum lacrimale.
  • Histological examination confirmed a conjunctival nevus without signs of malignant transformation.

Findings:

  • Peripunctal nevi (nevi near the tear duct opening) are rare, with only 10 previous cases reported since 1931.
  • This case is unique due to significant nevus enlargement in an elderly patient, a phenomenon typically observed in younger individuals.

Implications:

  • The cause of this atypical nevus enlargement in an older patient remains undetermined.
  • This case underscores the need for vigilance in diagnosing and monitoring conjunctival lesions, even when benign histology is confirmed.

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