title: Invasive spindle cell carcinoma of the conjunctiva managed by full-thickness eye wall resection.
abstract: OBJECTIVE
  To describe an invasive spindle cell carcinoma of the conjunctiva managed by full-thickness eye wall resection.
  
  
  METHODS
  A 51-year-old man developed a conjunctival mass that was excised and proved to be a spindle cell carcinoma. A tumor recurrence 20 months later was evaluated by ultrasound biomicroscopy (UBM) and managed by full-thickness eye wall resection and scleral graft.
  
  
  RESULTS
  UBM depicted an epibulbar mass with deep invasion through the limbus to Descemet membrane. The tumor was removed by full-thickness eye wall resection and scleral graft.
  
  
  CONCLUSIONS
  Deep scleral invasion of conjunctival spindle cell carcinoma can sometimes be managed by local resection rather than irradiation or enucleation.
authors.affiliation: Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Jerry A
authors.initials: JA
authors.lastname: Shields
authors.forename: Ralph C
authors.initials: RC
authors.lastname: Eagle
authors.forename: Brian P
authors.initials: BP
authors.lastname: Marr
authors.forename: Carol L
authors.initials: CL
authors.lastname: Shields
authors.forename: Hans E
authors.initials: HE
authors.lastname: Grossniklaus
authors.forename: R Doyle
authors.initials: RD
authors.lastname: Stulting
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D003230:Conjunctival Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D003316:Corneal Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012590:Sclera / Q000637:transplantation*; D015422:Scleral Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery