title: Conjunctival metastasis as an initial sign of small cell lung cancer.
abstract: Introduction. To report a case of a conjunctival metastasis as the initial manifestation of small cell lung cancer. Methods. Observational case report. Results. A 50-year-old man without known systemic disease developed a conjunctival mass in his right eye. He underwent incisional biopsy of the tumor and systemic evaluation. Histopathologically, the conjunctival mass was a metastatic small cell carcinoma. Further evaluation revealed a primary small cell lung carcinoma with metastasis to liver and bones. The primary and metastatic tumors were treated with chemotherapy. Conclusion. Conjunctival metastasis may be the initial manifestation of lung cancer. It should be considered in the differential diagnosis of a deep conjunctival mass.
authors.affiliation: Department of Ophthalmology, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey ; Department of Ophthalmology, Eskisehir Osmangazi University Hospitals, Meselik, 26480 Eskisehir, Turkey.
authors.forename: Afsun
authors.initials: A
authors.lastname: Sahin
authors.affiliation: Department of Ophthalmology, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey.
authors.forename: Nilgun
authors.initials: N
authors.lastname: Yildirim
authors.affiliation: Department of Internal Medicine, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey.
authors.forename: Deniz Goren
authors.initials: DG
authors.lastname: Sahin
authors.affiliation: Department of Ophthalmology, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey.
authors.forename: Hikmet
authors.initials: H
authors.lastname: Basmak
authors.affiliation: Department of Pathology, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Acikalin