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Case Reports in Oncological Medicine
Volume 2014 (2014), Article ID 641086, 4 pages
http://dx.doi.org/10.1155/2014/641086
Case Report

Massive Periocular Squamous Cell Carcinoma Engulfing the Globe: A Rare Case Report

1Department of Head & Neck Oncology, Sujan Surgical Cancer Hospital, Amravati 444601, India
2Department of Oral & Maxillofacial Surgery, VYWS Dental College & Hospital, Amravati 444601, India
3Adwani Multispeciality Dental Hospital, Ambapeth, Amravati 444601, India

Received 21 March 2014; Revised 11 July 2014; Accepted 16 July 2014; Published 24 July 2014

Academic Editor: Gerassimos P. Vandoros

Copyright © 2014 Rajender Singh Arora 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

The eyelid tumors are rare neoplasms in head and neck oncological practice. The maximum incidence is after sixty years and most of the tumors are situated in the lower eyelid and medial canthus. A wide range of clinical presentations contribute to a high risk of misdiagnosis. The factors such as very large lesions, incomplete excision, histopathologic features such as poor differentiation, multicentric origin, pagetoid spread, and delayed diagnosis are associated with poor prognosis. Because of different tissues at eyelid level, a variety of tumor types and subtypes can arise, but most of them are carcinomas. A rare case of eyelid carcinoma spreading and engulfing the whole of globe which was treated by orbital exenteration and postoperative radiotherapy is presented with a disease-free follow-up of 10 months which, considering its size, is extremely rare. The early diagnosis and proper treatment of such rare tumors still remain the mainstay to predict favourable prognosis.