A Case of MALToma Masquerading as a Lacrimal Caruncular Granuloma

Purpose: To report a case of mucosa-associated lymphoid tissue lymphoma (MALToma) that presented as a lacrimal caruncular granuloma. Case summary: A 38 -year -old woman presented with a mass in the right lacrimal caruncle and had a history of incision and drainage. Examination revealed a 4 -mm elevated mass at the lacrimal caruncle, which resembled a granuloma. The mass was excised under local anesthesia and a MALToma was diagnosed based on the histopathological examination. Conclusions: Although rare, a MALToma can present as a granuloma -like lacrimal caruncular mass. Excision and biopsy of the lacrimal caruncular mass are essential to obtain a definitive diagnosis.