Massive corneal and conjunctival squamous cell carcinoma.
A patient with massive, protuberant squamous cell carcinoma of conjunctiva invading the whole cornea, so as to hang from the surface, was referred with a visual acuity of hand motion near to face. A microscopically-controlled, frozen section guided excision, followed by double-freeze-thaw cryoapplication to the sclera and the edges of the conjunctival bed and lamello-lamellar sclerokeratoplasty, was performed. Three years later the patient's visual acuity was 20/60 with no evidence of recurrence of the lesion. Frozen section guided excision with adjuvant cryotherapy and lamellar sclerokeratoplasty is a viable therapy for massive squamous cell carcinoma of cornea and conjunctiva.
Panda
A
A
Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Sharma
N
N
Sen
S
S
D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000628:therapy; D003230:Conjunctival Neoplasms / Q000473:pathology* / Q000628:therapy; D003316:Corneal Diseases / Q000473:pathology* / Q000628:therapy; D016039:Corneal Transplantation; D017679:Cryotherapy; D003937:Diagnosis, Differential; D005134:Eye Neoplasms / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000637:transplantation