Abstract
We here report the case of a 55-year-old patient with a 20 pack-year smoking history presenting with left conjunctival lesion occurred 8 months before and rapidly increasing in volume, causing troublesome blinking with decreased visual acuity in a context of alteration of the general state. Clinical examination showed voluminous tumor of the conjunctiva in the left eye extending to the upper conjunctival sac with scleral and muscle infiltration responsible for restriction of adduction. Eyelid skin appearance was normal (A). CT scan of the orbit and the brain objectified hypodense, heterogeneous injury of the upper eyelid enhancing after contrast agent injection with lateral right muscle infiltration. Tumor biopsy was performed. Anatomopathological examination showed well differentiated squamous cell carcinoma. Staging with ultrasound of the parotid gland, abdomino-pelvic ultrasound and pulmonary X-ray were requested given that there was no evidence of distant adenopathies or metastases. The patient underwent exenteration. The residual cavity was filled with biogas for budding and haemostasis. Ocular prosthesis was implanted after surgery. At 1-year follow-up patient´s outcome was satisfactory.
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