PMC3350033_01
Photograph of the eye showing a large mass at the limbus that extended over the pupil (a and b) and postoperative photograph of the slit-lamp examination (c). Conjunctival tumor was almost excised with the nasal part of conjunctiva. No recurrence was observed until her death.
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fig1
The mass was so large that it covered the pupil of the eye (Figures 1(a) and 1(b)). The tumor was almost completely excised (Figure 1(c)), and the patient and her family were very happy with the results of the operation.
Images of systemic CT examination from the liver (a), the lung (b), and the abdomen (c). The arrow surrounding the appendix in the panel (c) may indicate the primary site of the cancer. The arrows in (a) show multiple metastasis of the liver. The arrow in (b) indicates the metastasis of the lung.
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fig2
The CT examination showed a large tumor surrounding the appendix, multiple legions in the liver, and lungs (Figure 2).
Histopathology of conjunctival tumor. The mass was composed of the sheet-like proliferation of atypical stratified squamous cells with outstanding papillary constructed growth pattern. The pleomorphic squamous cells showed numerous mitotic figures with dyskaratosis, loss of the nuclear polar, and lucid nucleolus. The histopathological diagnosis was well-differentiated type of squamous cell carcinoma.
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fig3
SCC of the conjunctiva (Figure 3). She declined treatment for the primary systemic cancer because of her age.