Primary Basal Cell Carcinoma of the Conjunctiva.

Autor: Low KL; Department of Ophthalmology, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS., Lai YP; Department of Ophthalmology, Hospital Kuala Lumpur, Kuala Lumpur, MYS., Alias R; Department of Ophthalmology, Hospital Kuala Lumpur, Kuala Lumpur, MYS., Che Hamzah J; Department of Ophthalmology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Nov 14; Vol. 14 (11), pp. e31516. Date of Electronic Publication: 2022 Nov 14 (Print Publication: 2022).
DOI: 10.7759/cureus.31516
Abstrakt: Epithelial conjunctival malignancies are one of the most prevalent ocular surface tumors. Primary basal cell carcinoma (BCC) of the conjunctiva is extremely rare. We report the case of a 67-year-old Indian gentleman who presented with a fleshy conjunctival lesion for one year on his right eye. Examination revealed a lightly pigmented conjunctival mass adjacent to the limbus. The surface was irregular and non-ulcerated with few feeder vessels. The working diagnosis was ocular surface squamous neoplasia (OSSN). A wide excisional biopsy using the no-touch technique and double-freeze-thaw cryotherapy to the conjunctival margins was performed. The bare scleral area was covered with an amniotic membrane. Histopathological examination revealed a basaloid cell neoplasm favoring BCC, and a tumor-free margin was achieved. Three cycles of topical mitomycin-C 0.02% were prescribed as adjunct chemotherapy postoperatively. There was no evidence of recurrence three months after treatment. The primary BCC of the conjunctiva is unusual and can resemble OSSN. Therefore, it should be considered in the differential diagnosis of patients presenting with atypical features of OSSN.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Low et al.)
Databáze: MEDLINE