Recurrent conjunctival atypical fibroxanthoma in Pigmentosum Xeroderma

Arch Soc Esp Oftalmol (Engl Ed). 2018 Feb;93(2):97-100. doi: 10.1016/j.oftal.2017.06.016. Epub 2017 Aug 23.
[Article in English, Spanish]

Abstract

Case report: A 7 year-old boy with Xeroderma Pigmentosum (XP) and who presents a recurrent conjunctival atypical fibroxanthoma after two surgeries. This is the third procedure and the patient is treated with a surgical excision of the tumour and cryotherapy at the surgical bed. Due to the risk of recurrence, topical Mitomycin C 0,02% was added at post-operative care achieving a good clinical outcome.

Discussion: Surgical exeresis with cryotherapy and topical Mitomycin C is an effective treatment for a case of an atypical fibroxanthoma with a high potential for recurrence and invasion. An ophthalmologic follow-up is required for these patients, as well as general paediatric care and support aids.

Keywords: Conjutctival atypical fibroxanthoma; Fibroxantoma atípico conjuntival; Mitomicina C; Mitomycin C; Neoplasia; Xeroderma pigmentoso; Xeroderma pigmentosum.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Conjunctival Diseases / etiology*
  • Conjunctival Diseases / surgery
  • Humans
  • Male
  • Recurrence
  • Xanthomatosis / etiology*
  • Xanthomatosis / surgery
  • Xeroderma Pigmentosum / complications*