Association of Epithelial Atypia With Recurrence After Surgical Excision in Conjunctival Papilloma

Hiroyuki Yazu, Murat Dogru, Jun Miyauchi, Yoichi Tanaka, Takefumi Yamaguchi, Seika Den, Yoshiyuki Satake, Kazuo Tsubota, Jun Shimazaki

Research output: Contribution to journalArticle

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Abstract

PURPOSE:: To investigate the association between recurrence of conjunctival papillomas and presence of atypical epithelial changes in patients undergoing surgical excision for conjunctival papilloma. METHODS:: We retrospectively reviewed 1,195 ophthalmic pathology specimens from 2004 to 2014 at Ichikawa General Hospital. Pathologic specimens of 5 patients with a final diagnosis of “conjunctival papilloma” were stained with hematoxylin–eosin, Ki 67, p53, human papillomavirus (HPV) 16 and 18 antibodies. RESULTS:: Of 1,195 patients, 5 patients (4 men, 1 woman; age range: 27∼57 years, mean age: 38.4 years) had a diagnosis of conjunctival papilloma, which constituted to 0.42% of the pathologic diagnosis made for the ophthalmology specimens. All specimens displayed multiple fronds of thickened conjunctival epithelium that enclosed cores of vascularized connective tissues. Three patients with recurrence after surgical excision demonstrated moderate to severe epithelial atypia, who also showed higher staining with Ki67 and p53 compared with patients with no recurrence. HPV16 and 18 antibodies staining did not appear to relate to recurrences. CONCLUSIONS:: Conjunctival papillomas with higher positive staining for Ki67 and p53 seem to have a higher risk of recurrence even after complete surgical excision and necessitate careful follow-up.

Original languageEnglish
JournalEye and Contact Lens
DOIs
Publication statusAccepted/In press - 2017 Jan 27

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Papilloma
Recurrence
Staining and Labeling
Human papillomavirus 18
Human papillomavirus 16
Antibodies
Ophthalmology
General Hospitals
Connective Tissue
Epithelium
Pathology

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Yazu, H., Dogru, M., Miyauchi, J., Tanaka, Y., Yamaguchi, T., Den, S., ... Shimazaki, J. (Accepted/In press). Association of Epithelial Atypia With Recurrence After Surgical Excision in Conjunctival Papilloma. Eye and Contact Lens. https://doi.org/10.1097/ICL.0000000000000330

Association of Epithelial Atypia With Recurrence After Surgical Excision in Conjunctival Papilloma. / Yazu, Hiroyuki; Dogru, Murat; Miyauchi, Jun; Tanaka, Yoichi; Yamaguchi, Takefumi; Den, Seika; Satake, Yoshiyuki; Tsubota, Kazuo; Shimazaki, Jun.

In: Eye and Contact Lens, 27.01.2017.

Research output: Contribution to journalArticle

Yazu, Hiroyuki ; Dogru, Murat ; Miyauchi, Jun ; Tanaka, Yoichi ; Yamaguchi, Takefumi ; Den, Seika ; Satake, Yoshiyuki ; Tsubota, Kazuo ; Shimazaki, Jun. / Association of Epithelial Atypia With Recurrence After Surgical Excision in Conjunctival Papilloma. In: Eye and Contact Lens. 2017.
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N2 - PURPOSE:: To investigate the association between recurrence of conjunctival papillomas and presence of atypical epithelial changes in patients undergoing surgical excision for conjunctival papilloma. METHODS:: We retrospectively reviewed 1,195 ophthalmic pathology specimens from 2004 to 2014 at Ichikawa General Hospital. Pathologic specimens of 5 patients with a final diagnosis of “conjunctival papilloma” were stained with hematoxylin–eosin, Ki 67, p53, human papillomavirus (HPV) 16 and 18 antibodies. RESULTS:: Of 1,195 patients, 5 patients (4 men, 1 woman; age range: 27∼57 years, mean age: 38.4 years) had a diagnosis of conjunctival papilloma, which constituted to 0.42% of the pathologic diagnosis made for the ophthalmology specimens. All specimens displayed multiple fronds of thickened conjunctival epithelium that enclosed cores of vascularized connective tissues. Three patients with recurrence after surgical excision demonstrated moderate to severe epithelial atypia, who also showed higher staining with Ki67 and p53 compared with patients with no recurrence. HPV16 and 18 antibodies staining did not appear to relate to recurrences. CONCLUSIONS:: Conjunctival papillomas with higher positive staining for Ki67 and p53 seem to have a higher risk of recurrence even after complete surgical excision and necessitate careful follow-up.

AB - PURPOSE:: To investigate the association between recurrence of conjunctival papillomas and presence of atypical epithelial changes in patients undergoing surgical excision for conjunctival papilloma. METHODS:: We retrospectively reviewed 1,195 ophthalmic pathology specimens from 2004 to 2014 at Ichikawa General Hospital. Pathologic specimens of 5 patients with a final diagnosis of “conjunctival papilloma” were stained with hematoxylin–eosin, Ki 67, p53, human papillomavirus (HPV) 16 and 18 antibodies. RESULTS:: Of 1,195 patients, 5 patients (4 men, 1 woman; age range: 27∼57 years, mean age: 38.4 years) had a diagnosis of conjunctival papilloma, which constituted to 0.42% of the pathologic diagnosis made for the ophthalmology specimens. All specimens displayed multiple fronds of thickened conjunctival epithelium that enclosed cores of vascularized connective tissues. Three patients with recurrence after surgical excision demonstrated moderate to severe epithelial atypia, who also showed higher staining with Ki67 and p53 compared with patients with no recurrence. HPV16 and 18 antibodies staining did not appear to relate to recurrences. CONCLUSIONS:: Conjunctival papillomas with higher positive staining for Ki67 and p53 seem to have a higher risk of recurrence even after complete surgical excision and necessitate careful follow-up.

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