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Impressum
Low differentiated spindle cell and polymorph carcinoma of the conjunctiva with intraocular spreading
Kathke M. A., Richter M. N., Kreusel K. M., Bechrakis N. E., Foerster M. H.
Augenklinik, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin
Background: Spindle cell carcinoma of the conjunctiva is a rare
malignant tumor. Local recidiv and tendency to intraocular growth are
known.
Case report: A 75-year-old woman presented with a small painful
episcleral tumor following cataract surgery, vitrectomy and silicone oil-filled
eye. It was suspected of having nodular anterior scleritis, but treatment
was without success. After biopsy and diagnosis of a spindle cell carcinoma
followed the exenteratio of the orbital tissue. Histological findings
were spreading of conjunctiva, episclera, ciliary body, choroid, retina
and vitreous. There were no metastasis found three months after this surgery.
Conclusion: Thinking of aggressive malignant tumors of the conjunctiva
is too necessary in postoperative scarred conjunctiva with new painful
and increasing alterations. Doubtful findings should be under histological
examination early.