Squamous cell carcinomas are rare and usually well differentiated. After adequate therapy total cure is often achieved [13, 120]. More aggressive variants of this carcinoma, like the acantholytic or adenoid type  and the spindle cell type are even more rare. Mucoepidermoid carcinoma of the conjunctiva has also been reported [34, 101] (See Chaps. 1 and 5 for more details.).
metaplastic epithelium, without goblet cells. There is a strong association between HPV and conjunctival papillomas. HPV type 6/11 is the most common HPV type in conjunctival papilloma. The sensitivity of koilocy-tosis as an indicator of HPV in conjunctival papilloma is low . Papillomas are more extensively discussed in Chap. 1.
Intraepithelial neoplasia of the conjunctiva can be caused by sun-damage (actinic keratosis) or by HPV-induced pre-malignant transformation (Bowenoid type). In both types
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