Long standing exophytic conjunctival papilloma infected with
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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.

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.

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