[Sclerokeratitis and invasive conjunctival squamous cell carcinoma].
OBJECTIVE
To describe one case of invasive squamous cell carcinoma of the conjunctiva in a 74-year-old woman, who two years previously had presented with a lesion which appeared to be an anterior nodular scleritis.


CONCLUSIONS
An anterior nodular scleritis, which did not respond to therapy, preceded the development of a squamous cell carcinoma of the conjunctiva adjacent to it. In our patient, the conjunctival squamous cell carcinoma could have masqueraded as a scleritis, delaying the correct diagnosis and allowing orbital spread of the tumor. A diagnosis of neoplasia must be considered when a scleritis shows an atypical appearance or does not respond to the usual therapy.
Arteaga-Sánchez
A
A
Hospital General de Móstoles, Madrid, España. artesanc@yahoo.com
Toledano-Fernández
N
N
Díaz-Valle
D
D
Fernández-Aceñero
M J
MJ
Hijós-Gastón
M
M
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003230:Conjunctival Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D007634:Keratitis / Q000150:complications*; D007765:Lacrimal Apparatus / Q000473:pathology; D009361:Neoplasm Invasiveness; D009801:Oculomotor Muscles / Q000473:pathology; D017233:Orbit Evisceration; D015423:Scleritis / Q000150:complications*