ABSTRACT
PURPOSE/METHODS: To describe one case of invasive squamous cell carcinoma of the conjunctiva in a 74-year-old woman, who two years previously had presented with a lesion which appeared to be an anterior nodular scleritis. RESULTS/CONCLUSIONS: An anterior nodular scleritis, which did not respond to therapy, preceded the development of a squamous cell carcinoma of the conjunctiva adjacent to it. In our patient, the conjunctival squamous cell carcinoma could have masqueraded as a scleritis, delaying the correct diagnosis and allowing orbital spread of the tumor. A diagnosis of neoplasia must be considered when a scleritis shows an atypical appearance or does not respond to the usual therapy.
Subject(s)
Carcinoma, Squamous Cell/diagnosis , Conjunctival Neoplasms/diagnosis , Keratitis/complications , Scleritis/complications , Aged , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/pathology , Conjunctival Neoplasms/complications , Conjunctival Neoplasms/pathology , Female , Humans , Lacrimal Apparatus/pathology , Neoplasm Invasiveness , Oculomotor Muscles/pathology , Orbit EviscerationABSTRACT
Objetivo/método: Se presenta una escleritis nodular anterior de dos años de evolución en una mujer de 74 años, que desarrolla posteriormente un carcinoma conjuntival escamoso invasivo, en la zona adyacente al nódulo de escleritis. Resultados/conclusiones: El desarrollo de un carcinoma escamoso conjuntival que tiene como precedente la aparición adyacente de una escleritis nodular anterior que no respondió al tratamiento. En nuestra paciente la escleritis iniciada dos años antes pudo enmascarar el carcinoma escamoso, retrasando el diagnóstico y permitiendo la invasión orbitaria del tumor. Ante una escleritis de presentación atípica o sin respuesta al tratamiento debe considerarse la posibilidad de una neoplasia
Purpose/methods: To describe one case of invasive squamous cell carcinoma of the conjunctiva in a 74-year-old woman, who two years previously had presented with a lesion which appeared to be an anterior nodular scleritis. Results/conclusions: An anterior nodular scleritis, which did not respond to therapy, preceded the development of a squamous cell carcinoma of the conjunctiva adjacent to it. In our patient, the conjunctival squamous cell carcinoma could have masqueraded as a scleritis, delaying the correct diagnosis and allowing orbital spread of the tumor. A diagnosis of neoplasia must be considered when a scleritis shows an atypical appearance or does not respond to the usual therapy
Subject(s)
Female , Middle Aged , Humans , Keratitis/diagnosis , Keratitis/therapy , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/diagnosis , Uveitis/complications , Uveitis/diagnosis , Carcinoma, Basal Cell/complications , Risk Factors , Conjunctival Neoplasms/therapy , Conjunctival Neoplasms/diagnosis , Scleritis/complications , Keratitis/complications , Scleritis/diagnosis , Scleritis/therapy , Microscopy , Microscopy, Electron , Conjunctival Neoplasms/complicationsABSTRACT
Objetivo: Establecer el diagnóstico diferencial con el melanoma de coroides y otros tumores malignos. Métodos: Presentamos una revisión de 5 tumores vasoproliferativos vistos en nuestro Servicio desde 1993; el diagnóstico fue clínico, y se realizó fundamentalmente mediante oftalmoscopia y ecografía oftálmica. Resultados: En 3 de los 5 casos (vistos antes de 1995) se optó por realizar tratamiento mediante braquiterapia con hilos de Iridio192 ante la sospecha de que se tratara de un melanoma de coroides; en los otros 2 casos se procedió a la observación periódica y tratamiento de la patología asociada y complicaciones que determinan en último extremo la agudeza visual final. Conclusiones: Es importante establecer el diagnóstico diferencial con el melanoma de coroides y otros tumores malignos, ya que su tratamiento y pronóstico son diferentes (AU)
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Subject(s)
Middle Aged , Adult , Male , Female , Humans , Fundus Oculi , Retrospective Studies , Brachytherapy , Iridium Radioisotopes , Magnetic Resonance Imaging , Hemangioma , Retinal NeoplasmsABSTRACT
PURPOSE: To establish the differential diagnosis from choroidal melanoma and other malignant tumors. METHODS: We report 5 patients with vasoproliferative tumors studied in our Hospital since 1993; diagnosis was mainly based on clinic appearance of the lesions. Each patient had undergone indirect ophthalmoscopy and ocular echography. RESULTS: Three upon five cases (studied before 1995) were treated with brachytherapy with Ir(192) because they were suspected to be choroidal melanomas. Periodical observation and treatment of associated complications was the treatment of choice in two other cases in which these complications determined the final visual acuity. CONCLUSION: It is important to establish the differential diagnosis between choroidal melanoma and other malignant tumors, as their prognosis and treatment are different.
