Long standing exophytic conjunctival papilloma infected with
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Background: Most conjunctival papillomas are benign in nature. However, any long standing conjunctival mass should not evade the surveillance of carcinogenicity. Presented here is a case of a long standing conjunctival papilloma (HPV) that showed the presence of low-risk human papillomavirus based on histological testing.
Case Report: A 48-year-old man presented for urgent care evaluation of a growth on his left lower eyelid that was itchy and bled intermittently with eye rub. Ocular examination of the lower eyelid revealed a large pink pedunculated mass on the palpebral conjunctiva. The patient underwent excision of the mass with conjunctivoplasty and ocular surface reconstruction. Histopathology of the tissue revealed the mass to be a conjunctival papilloma with positive staining for low-risk HPV types 6 and 11.
Conclusion: Although the chronic nature of the lesion reduces malignant potential, staining for low-risk HPV 6 and 11 was present. Any longstanding papilloma warrants histopathology work up to help with appropriate medical or surgical management.

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