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A 60-year-old white male presents with a painless, salmon-colored subconjunctival mass in his right eye.  The patient denies trauma and has no significant ocular history.

This most likely represents:

a -- lymphoma Virtually all ocular adnexal lymphomas are non-Hodgkin's lymphomas.  They can be seen as flesh-colored or salmon pink patches found in the fornices, as in this patient, occuring in the sixth and seventh decade. Periocular lymphoid tumors occur in 1.5% to 4.0% of systemic lymphomas, and fewer than 1% have ocular involvement as the initial presentation. A biopsy, not too extensive, is required before treatment is undertaken.  This treatment can be radiation, cryotherapy, or chemotherapy with the latter supervised by a general oncologist. Reference:  Eichler M.D., Fraunfelder F.T.   Lymphoid tumors.  In: Current Ocular Therapy, Fraunfelder F.T., Roy F.H., and Randall J., eds., 2000, W.B. Saunders, Philadelphia, pp 246-47.