Massive Squamous Cell Carcinoma of the Orbit: A Rare Case Report
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 11
Abstract
Squamous Cell Carcinoma (SCC) is the second most common eyelid malignancy worldwide. SCC is an aggressive tumour, with the ability to cause significant morbidity, mortality and the risk of rapid spread. Hence, urgent diagnosis and management is essential. SCC may mimic other benign and malignant lesions. Its definite diagnosis is generally done by biopsy and immunohistochemistry. Orbital invasion warrants treatment by orbital exenteration. There are chances of incomplete tumour clearance and recurrence, with a five year survival Rate of about 60%. Herein, we describe a young male patient with a massive tumour engulfing the entire orbit, and spilling over to the surface and periocular skin. There was a fungating, multilobulated mass of about 10 X 10 cm in size, with areas of necrosis and secondary infection. The tumour had invaded and destroyed all the orbital structures. However, the nasal cavity and maxillary sinus was free of tumour and there was no evidence of metastasis. The patient underwent surgical debulking of the tumour via orbital exenteration, followed by adjuvant radiotherapy. Histopathology revealed, well differentiated SCC. On follow up, the patient was systemically well, with no evidence of metastasis and the surgical site appeared healthy.
Authors and Affiliations
Smriti Nagpal Gupta, Sushil Kumar, Ruchi Goel, Charu Sagar, Okram Birbala
Keywords
Related Articles
- EP ID EP366316
- DOI 10.7860/JCDR/2017/30621.10879
- Views 60
- Downloads 0
MR Imaging in Idiopathic Inflammatory Polymyositis: Case Report and Review of Literature
ABSTRACT Idiopathic Inflammatory Myopathies (IIM) are a group of rare autoimmune disorders which present clinically with proximal muscle weakness. Diagnosis of IIM involves clinical history, pathological investigation, i...
Keeping up with Dental Literature: A Study on Continuing Professional Development among Dental Practitioners in Hubli-Dharwad, India
Introduction: Continuing Professional Development (CPD) refers to skills and knowledge attained for both personal development and career advancement. In India, very few studies have been documented to discover the patter...
Histopathological Analysis of Brain Tumours- A Seven Year Study from a Tertiary Care Centre in South India
Introduction: Tumours of central nervous system constitute 1%-2% of tumours in adults. The incidence of brain tumours has been reported to be around 3.9 and 3.0/one lac/year in males and females respectively. A few studi...
Terbinafine in Fixed Cutaneous Sporotrichosis: A Case Series
ABSTRACT Sporotrichosis is a chronic granulomatous mycotic infection caused by thermally dimorphic fungus, Sporothrix schenckii. The disease is endemic in tropical and subtropical belts throughout the world. In India, it...
Vulvar Smooth Muscle Tumours: Case Series and Review of Literature
ABSTRACT Smooth muscle tumours are rare in vulva. Here we discuss three cases all presenting with vulvar mass but with different clinical features. The first patient was 26-year-old primigravida at 18 weeks gestation wit...