PMC7210513_01
(a) Patient at the first presentation to the oculoplastic clinic. Note nodule-like lesions on the nasal part of his right upper and lower eyelids. (b, c) The high rate of tumor growth. Large, indurated tumor with ulcerated center can be seen. (d) Eight months after the first examination. Large ulcerated squamous cell carcinoma in the right orbital area, note the extension of necrotic mass to forehead and midcheek with multiple maggots.
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fig1
Squamous cell carcinoma of the eyelids was highly suspected, but the patient refused any further diagnostic or treatment procedures, including biopsy or surgical removal of the lesions (Figure 1(a)). The patient's family (members) continued to note a high rate of tumor growth accompanied by deterioration of the general condition (Figures 1(b) and 1(c)). On examination, no eyelids, eyeball, or other ocular tissue could be seen on the right side of his face while the necrotic mass extended to forehead and midcheek (Figure 1(d)).
(a, b) Maggots collected after removal from the patient.
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Overall, 32 larvae were removed from the patient and morphologically identified as the third larval instars of S. argyrostoma (Figures 2 and 3).
Third-instar larva of Sarcophaga argyrostoma. (a) Pseudocephalon and thoracic segments, dorsal view. (b) First thoracic segment, anterior spiracle, contrasted with ink marker. (c) Sixth and seventh abdominal segments and anal division, dorsal view, contrasted with ink marker.
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Overall, 32 larvae were removed from the patient and morphologically identified as the third larval instars of S. argyrostoma (Figures 2 and 3).