Patient: 68 years of age, male, BCVA 0.8 at OD, 0.2 at OS.
General Medical History: arterial hypertension.
Ocular Medical History: since 6 month red eye.
Main Complaint: long lasting conjunctivitis, a “mass in the eye”.
Purpose: to present an ocular surface squamous neoplasia .
Methods: Colour Photography Anterior Segment.
Findings:
Colour Photography Anterior Segment: conjunctival neoplasia with intrinsic vascularity.
Histology (PAS): focal carcinoma in situ (CIS), TIS Nx Mx Y1
Discussion:
The conjunctival squamous cell carcinoma is an ocular surface squamous neoplasia (OSSN). The term ocular surface squamous neoplasia (OSSN) describes neoplastic epithelial abnormalities of conjunctiva and cornea.
Chebbi A et al. (1) retrospectively analyzed medical records of 79 patients followed for primary malignant conjunctival tumors. They found invasive squamous cell carcinoma in 54%, epithelial dysplasia in 14%, carcinoma in situ in 9%, conjunctival malignant melanoma in 6%, and conjunctival lymphoma in 5%.
Literature:
1) Prognosis of primary malignant tumors of the conjunctiva. Chebbi A, Bouguila H, Boukari M, Lajmi H, Bouzain M, Abess I, Malek I, Mrad K, Zeghal I, Nacef L. J Fr Ophtalmol. 2015 Jun;38(6):477-85.
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