Invasive spindle cell carcinoma of the conjunctiva managed by full-thickness eye wall resection.
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.
Shields
Jerry A
JA
Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Eagle
Ralph C
RC
Marr
Brian P
BP
Shields
Carol L
CL
Grossniklaus
Hans E
HE
Stulting
R Doyle
RD
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