International Journal of Ophthalmic PathologyISSN: 2324-8599

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Case Report, Int J Ophthalmic Pathol Vol: 5 Issue: 4

Multiple Limbal Cysts: An Unusual Presentation of Squamous Cell Carcinoma of Conjunctiva

Shahud Hasan1, Ashok Pathak1, Somya Ish1* and Chauhan DS2
1Department of Ophthalmology, PGIMER and Dr. RML Hospital, New Delhi-110001, India
2Department of Pathology, PGIMER and Dr. RML Hospital, New Delhi-110001, India
Corresponding author : Somya Ish
Department of ophthalmology, PGIMER and Dr. RML Hospital, B-1, 1st Floor, Green Park Extension, New Delhi-110016, India
Tel: +91-9910044200
Received: October 31, 2016 Accepted: December 07, 2016 Published: December 12, 2016
Citation: Hasan S, Pathak A, Somya Ish, Chauhan DS (2016) Multiple Limbal Cysts: An Unusual Presentation of Squamous Cell Carcinoma of Conjunctiva. Int J Ophthalmic Pathol 5:4. doi: 10.4172/2324-8599.1000192


Introduction: Squamous cell carcinoma of conjunctiva or cornea is a rare entity with varying clinical presentations. Often it is misdiagnosed as pterygium and undertreated.

Presentation: An unusual case of 40 year old male, vendor by occupation with multiple cystic lesions with partly gelatinous surface on left eye limbus from 7’o clock to 9’o clock position. It also had a prominent, tortuous blood vessel supplying the lesion. Excision biopsy with 2 mm of healthy conjunctiva was carried out with cryotherapy. Histopathological examination confirmed our diagnosis of invasive squamous cell carcinoma. Eye drop Mitomycin C (0.02%) was instituted for a total of 4 weeks with midcycle interval of one week. As the course of MMC finished, another cryo application was done.

Conclusion: Squamous cell carcinoma can present in various clinical picture like in our case it presents uniquely as a cystic mass which has not been described in literature. After excision biopsy, cryotherapies with topical Mitomycin C are effective methods to prevent recurrence.

Keywords: Squamous cell carcinoma; Limbal cyst; Conjunctiva; Mitomycin C; Cryotherapy

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