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Caruncular lesions: A 16-year single centre review in the United Kingdom. | LitMetric

AI Article Synopsis

  • - The study reviews the characteristics of caruncle biopsies at a UK hospital, analyzing data from 31 patients over a 16-year period.
  • - A variety of lesions were found, including melanocytic nevi and benign squamous papillomas, with a notable presence of both malignant melanomas and basal cell carcinomas.
  • - The findings suggest that diagnosing caruncular lesions is challenging due to their variety, and excisional biopsies are recommended to exclude potential malignancies.

Article Abstract

Background/aims: To review the clinicopathological features of caruncle biopsies carried out at a district general hospital in the United Kingdom (UK), and compare with other centres where data has been published.

Methods: Retrospective, single-centre, observational case series between 2004-2020.

Results: A total of 31 lesions from 31 patients were analysed. 18 of 31 patients were men (58%), and the age ranged from 12 to 91 years. 13 different histopathological types of lesions were identified in our case series, including 9 melanocytic nevi (29%), 7 benign squamous papillomas (23%), 5 skin adnexal lesions (16%), 3 chronic inflammation (10%), 3 epithelial cysts (10%), 1 basal cell carcinoma (3%), 2 malignant melanomas (6%) and l lymphoproliferative disorder (3%). Pre-operative suspected diagnoses were often vague but correct in 12 of 18 cases (67%), where data was available.

Conclusion: The uncommon nature and variety of caruncular lesions make the diagnostic process difficult. Our case series is the first reported in the UK, showing a slightly higher proportion of malignant melanomas, in keeping with the population demographics. Excisional biopsies would, therefore, be prudent in the majority of cases to rule out any possible malignancy.

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Source
http://dx.doi.org/10.1177/11206721221137938DOI Listing

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