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Case Reports in Ophthalmological Medicine
Volume 2011 (2011), Article ID 972318, 3 pages
http://dx.doi.org/10.1155/2011/972318
Case Report

A Case of Squamous Cell Carcinoma of Conjunctiva as Initial Sign of Systemic Cancers

1Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chuo-ku, Chiba 260-8670, Japan
2Department of Pathology, Chiba University Graduate School of Medicine, Chuo-ku, Chiba 260-8670, Japan
3Department of Molecular Pathology, Chiba University Graduate School of Medicine, Chuo-ku, Chiba 260-8670, Japan

Received 4 November 2011; Accepted 11 December 2011

Academic Editor: W. M. Amoaku

Copyright © 2011 Hayato Mitamura 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 purpose of this report is to present the findings in a case of squamous cell carcinoma (SCC) of the conjunctiva which was the initial sign of systemic cancers. A 94-year-old woman without known systemic diseases developed a mass in her right conjunctiva. She was referred to our hospital 5 months after the onset. She was diagnosed with conjunctival SCC by biopsy. Systemic CT before the surgery revealed multiple liver lesions, lung legions, and a large mass surrounding the appendix. The patient requested the surgery, and the main aim of the surgery was cosmesis. Histopathological examinations of the specimen led us to the final diagnosis as SCC. She did not receive any other therapy because of her age. As no other surgical procedures were undertaken, it is uncertain as to whether the conjunctival lesion was primary or secondary. Although, it is extremely rare that SCC of the conjunctiva is the initial sign of systemic cancers, careful systemic examinations to find other cancers should be made.