Artikel
Bilateral squamous cell carcinoma of the conjunctiva
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Autoren
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C. Horstmann
- Department of ophthalmology, Kiel
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D. Holland
- Department of ophthalmology, Kiel
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J. Roider
- Department of ophthalmology, Kiel
| Veröffentlicht: | 22. September 2004 |
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Gliederung
Text
Objective
Squamous cell carcinoma of the conjunctiva is rare disease with an incidence of 1,9 / 100000 per annum. The tumor usually grows solitary and is located at the limbus. Metastases are proably rare even in advanced and recurrent cases.
Methods
The case of a 53-year-old female patient is presented with a histological variefied squamous cell carcinoma of the tarsal conjunctiva from left the lower eyelid. In her historoy she reported of a mammectomy of breast cancer 2 years ago wich is treated with hormone (Tamocardin). A total excision of the tumor could be achieved, the defect was covered by oral mucosa. A radiotherapy with 60 Gy followed. However one year later she developed a tumor on the right eye growing from the caruncel. The histopathological diagnosis was also a squamous cell carcinoma. The procedure equals the one was from the left eye. A general metastasis was excluded.
Results
In the literature nobody descriebe a bilateral squamous cell carcinoma of the conjunctiva. After the histopathological diagnosis a excision with a great distance should be done to prevent further orbital penetration. With a oral mucosaplasik the defect can de covered with a sufficient cosmetic result.
Conclusions
A early diagnosis and immediate therapie can prevent from orbital penetration. In case of unilateral diagnosis both eye have to be examined
