Rare Palpebral Conjunctival Myxoma With Histopathological and Immunohistochemical Evidence

Conjunctival myxoma is a rare benign tumor which may mimic other common lesions of the conjunctiva. We describe a lesion in a 52-year-old man, initially diagnosed as a conjunctival granuloma, arising from the palpebral conjunctiva. Intraoperatively, anterior orbital extension was noted via a connecting stalk. The lesion was excised completely under local anesthesia. The histopathological analysis and immunohistochemistry confirmed a diagnosis of conjunctival myxoma. Systemic evaluation was normal. At 3-month follow up, the patient remained healthy without any recurrence. Due to life-threatening syndromic associations, histopathological confirmation and systemic evaluation are mandatory when dealing with potential examples of conjunctival myxoma.