Posters

In situ squamous cell carcinoma look like a pterygium

Poster Details

First Author: Y.Chaoui Roqai MOROCCO

Co Author(s): M. Aachak   O. Akioud   A. Elkhoyaali   F. El Asri   K. Reda   A. Oubaaz     

Abstract Details

Purpose:

In situ squamous cell carcinoma of the conjunctiva corresponds to a rare invasive tumor and polymorphic clinical presentations that are sometimes misleading. It can be mistaken for a pterygium or pinguecula. the purpose of this work is to show the importance of performing an anatomopathological examination before any conjunctival lesion suspected of malignancy

Setting:

Ophthalmology service of the Military Hospital of Instruction Mohammed V, Rabat, Morocco

Methods:

41-year-old patient with redness and watering of the right eye for about 3 months

Results:

The visual acuity with correction is 10/10. Biomicroscopic examination of the right eye revealed a papillomatous thick limpic conjunctival lesion, vascularized perpendicular to the surface and developed in the opening area of the palpebral fissure. The anterior and posterior segment was normal. The examination of the left eye was normal. A malignicy tumor was suspected. An excisional biopsy with a margin of safety is performed.  anatomopathological examination shows squamous cell carcinoma in situ of the conjunctiva. Complementary treatment with cryotherapy is realized. The evolution with a follow-up of 10 months didn’t note a tumor recurrence.

Conclusions:

In situ squamous cell carcinoma may have different atypical clinical manifestations. Biopsy-excision of any suspicious lesion is the best way to confirm this diagnosis. Long-term follow-up of these patients is essential to detect early recurrences

Financial Disclosure:

None