Unexpected Histological Findings in Pterygium

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Pterygium is thought to be a common benign lesion of the corneo-conjunctival limbus. We report a case in which the pathological examination of an apparently trivial pterygium disclosed the presence of a conjunctival intraepithelial neoplasm in a 53-year-old white male who has been living in Kenya for 35 years. An atypical grayish area on the lesion convinced the surgeon to request the histological examination.

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