Caruncular Tumors

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The caruncle is the small/pink globular spot at the inner lacrimal corner of the eye and contains both oil and sweat glands. The caruncle is the ovoid body, roughly 5 mm high and 3 mm broad, situated in the lacus lacrimalis medial. Caruncle lesions are uncommon but might possibly develop and could be similar to those found inside the skin, conjunctiva, or lacrimal gland. Specifically:

  • On account of the fact that the caruncle harbors skin elements, such as hair follicles, sebaceous glands, sweat glands, and accessory lacrimal tissue, the lesions developing from the caruncle are very diverse, making their clinical diagnosis very difficult.
  • Clinical preoperative diagnosis is reached only in about 50% of the cases.
  • The greater part of lesions of the caruncle tends to be benign, mainly nevi. Malignant lesions are rare but can be potentially fatal.
  • Although malignancy is clinically overestimated, any suspected malignant lesion ought to be excised and examined histopathologically by a skilled pathologist.


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