Management of an Invasive Squamous Cell Carcinoma of the Conjunctiva: A Case Report

To describe the clinical findings and management of a patient with invasive Squamous Cell Carcinoma (SCC).

We present the case of a patient with a conjunctival mass with progressive growth in the right eye and decreased visual acuity. He had undergone excision of a limbal conjunctival mass one month before this condition. Examination revealed a fleshy conjunctival lesion on the temporal limbus that extended intraocularly. An irregular gray mass measuring 3 x 2 mm in size was observed in the anterior chamber. Modified enucleation with the implant was performed to control local invasion. Histopathological analysis showed recurrent conjunctival SCC, well-differentiated, tumors infiltrating the sclera, choroid and ciliary body, Tumour Node Metastasis (TNM) (American Joint Committee on Cancer classification) stage: pT3Nx. The patient was treated with adjuvant chemotherapy post-operatively.

Conclusion: Invasive squamous cell carcinoma of the conjunctiva is a rare condition. The management of a locally advanced tumor is enucleation and disease-free resection should be performed as this will impact the patient's prognosis and survival time.