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Limbal nodule

AI overview

A limbal nodule is any nodular lesion at the limbus (junction of the cornea and sclera) of the eye.

Key points
  • A 1989 case series examined 636 limbal nodules over 40 years at the Institute of Ophthalmology in London
    source quote
    A 1989 case series of 636 limbal nodules examined over a period of 40 years at the Institute of Ophthalmology in London
  • 351 nodules involved melanocytes, with two-thirds being benign nevi
    source quote
    351 nodules involved malanocytes with two-thirds being benign nevi
  • 73 lesions were squamous cell carcinomas and 137 were premalignant lesions
    source quote
    Seventy three lesions were squamous cell carcinomas, and 137 premalignant lesions
  • Ten percent of the lesions were dermoid nodules
    source quote
    Ten percent of the lesions were dermoid nodules
Diagnosis
  • Differential diagnosis includes pinguecula, early pterygium, foreign body, phlycten, episcleritis, scleritis, granuloma, limbal dermoid, malignant melanoma, and naevus
    source quote
    The differential diagnosis for a limbal nodule can include: Pinguecula Early Pterygium Foreign body / foreign body granuloma Phlycten , an inflamed nodule of lymphoid tissue Episcleritis Scleritis Granuloma Limbal dermoid , a kind of choristoma (NB: in other organs dermoid can refer to a teratoma ) malignant melanoma naevus
Red flags
  • Squamous cell carcinoma was found in 73 cases
    source quote
    Seventy three lesions were squamous cell carcinomas
  • Premalignant lesions were identified among the cases
    source quote
    137 premalignant lesions
  • Malignant melanoma is included in the differential diagnosis
    source quote
    malignant melanoma
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Limbal nodule
Limbus
SpecialtyOphthalmology

A limbal nodule is any nodular lesion at the limbus (junction of the cornea and sclera) of the eye.

The differential diagnosis for a limbal nodule can include:

A 1989 case series of 636 limbal nodules examined over a period of 40 years at the Institute of Ophthalmology in London reported that 351 nodules involved malanocytes with two-thirds being benign nevi. Seventy three lesions were squamous cell carcinomas, and 137 premalignant lesions. Ten percent of the lesions were dermoid nodules.[1]

  1. Garner, Alec (March 1989). "The pathology of tumours at the limbus". Eye. 3 (2): 210–217. doi:10.1038/eye.1989.30.