Caruncular Tumors

• Lesions from {the} caruncle are uncommon.
• On account from {the} histological composition of {the} caruncle, which includes, in addition to conjunctiva, hair roots, sebaceous glands, sweat glands, in addition to accessory lacrimal tissue, {the} caruncle may possibly develop lesions which may possibly be similar to those found inside {the} skin, conjunctiva, or lacrimal gland.
• Clinical preoperative diagnosis is very difficult and reached only in about 50 % of of {the} cases.
• The {the} greater part of lesions of {the} caruncle tend to be benign, mainly nevi. Noted 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.
• The caruncle (from Latin caro=flesh) is a soft, pink, ovoid body, bout 5 mm high and 3 mm broad, situated in {the} lacus lacrimalis medial to {the} plica semilunaris.
• It is more prominent on lateral gaze and is retracted on medial gaze.Lesions of {the} caruncle are uncommon. On account of {the} fact that {the} caruncle harbours 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.
• The vast majority of lesions of {the} caruncle is benign, although rare malignant lesions have been also reported.