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Case Reports in Medicine
Volume 2014, Article ID 614353, 3 pages
http://dx.doi.org/10.1155/2014/614353
Case Report

Conjunctival Metastasis as an Initial Sign of Small Cell Lung Cancer

1Department of Ophthalmology, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey
2Department of Ophthalmology, Eskisehir Osmangazi University Hospitals, Meselik, 26480 Eskisehir, Turkey
3Department of Internal Medicine, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey
4Department of Pathology, Eskisehir Osmangazi University Medical School, 26480 Eskisehir, Turkey

Received 24 August 2014; Accepted 17 September 2014; Published 23 October 2014

Academic Editor: T. A. Salerno

Copyright © 2014 Afsun Sahin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. To report a case of a conjunctival metastasis as the initial manifestation of small cell lung cancer. Methods. Observational case report. Results. A 50-year-old man without known systemic disease developed a conjunctival mass in his right eye. He underwent incisional biopsy of the tumor and systemic evaluation. Histopathologically, the conjunctival mass was a metastatic small cell carcinoma. Further evaluation revealed a primary small cell lung carcinoma with metastasis to liver and bones. The primary and metastatic tumors were treated with chemotherapy. Conclusion. Conjunctival metastasis may be the initial manifestation of lung cancer. It should be considered in the differential diagnosis of a deep conjunctival mass.