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Corneoscleral fibrous histiocytoma
  1. C S Daniel,
  2. B J Clark,
  3. S J Tuft
  1. Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD, UK
  1. Correspondence to: Miss Daniel, Department of Pathology, Institute of Ophthalmology, University College London, Bath Street, London EC1V 9EL, UK

https://doi.org/10.1136/bjo.86.4.477

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    Fibrous histiocytomas of the corneoscleral limbus are rare tumours. We present a case report and a review of the clinical and histopathological findings from cases presented in the literature.

    Case report

    A 19 year old white male presented with a 6 month history of a painless growth on the inferior corneoscleral limbus of the left eye (Fig 1A and B). There were no other ocular symptoms. He had no medical history of note. His vision was 6/5 unaided in the right eye, and 6/6 unaided in the left eye. The growth was approximately 5 mm in diameter, vascularised, and yellowish in appearance. There were no other ocular abnormalities. The lesion was excised by conjunctival excision and superficial keratectomy under a general anaesthetic and sent for histopathological opinion.

    Figure 1

    Fibrous histiocytoma arising from the corneoscleral limbus, showing the tumour extending into the cornea. It is moderately vascular and has a similar appearance to a dermoid. (B) Fibrous histiocytoma showing the inferior margin of the tumour. (C) Haematoxylin and eosin (H&E) stain, original magnification ×20. (D) H&E stain, original magnification ×100. (E) H&E stain, original magnification ×400. (F) H&E stain, …

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