A Rare Presentation of Pigmented Spindle Cell Squamous Cell Carcinoma (SCC) of Conjunctiva - A Case Report

Dr. Ashutosh Patel, Dr. Renuka Barki

Abstract: Conjunctival SCC comprise Ocular Surface Squamous Cell Neoplasias along with other ocular adenexal SCC. SCC is the considered to be most common malignancy of the conjunctiva. This case report highlights a rare case of pigmented spindle cell squamous cell carcinoma-in-situ conjunctiva in HIV patient. A 55 year male patient presented to ophthaldepartement complaining of growth over conjunctiva on nasal side in right eye since 2 months which was associated with mild pain. On examination Conjunctiva showed a fleshy brownish mass over nasal side of right conjunctiva measuring 1.7 x1.4 c. m. in size with minimal vascularization. Conjunctival growth was excised & was sent for histopathological examination. Histopathology report suggested the mass to be pigmented spindle cell squamous cell carcinoma-in-situ-Conjunctiva. This case suggests that HIV infection is animportant risk factor for Ocular surface squamous neoplasia.

Keywords: Conjunctiva, Pigmented Spindle cell carcinoma, OSSN ocular surface squamous neoplasia