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Mucoepidermoid carcinoma of the bulbar conjunctiva – an interventional case report

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Author(s): Quintas, Ana M. | Fonseca, Ana C. | Crujo, Conceição | Almeida, Leonor | Monteiro-Grillo, Manuel

Journal: GMS Ophthalmology Cases
ISSN 2193-1496

Volume: 1;
Start page: Doc06;
Date: 2011;
Original page

Keywords: carcinoma | mucoepidermoid | treatment | cryotherapy | mitomycin C

ABSTRACT
Purpose: Mucoepidermoid carcinoma is a rare variant of squamous cell carcinoma of the conjunctiva. It appears more frequently in the elderly, it is more aggressive than squamous cell carcinoma, and it has a higher recurrence rate and higher incidence of intraocular and orbital invasion. Methods: We report a case of a 74-year-old man who presented to the Emergency Department with a one month history of painful red left eye. Results: The patient presented with visual acuity was 10/10 in both eyes and a conjunctiva tumor on the bulbar conjunctiva of left eye. The UBM revealed a thickening of the conjunctiva-sclera complex with no signs of intraocular invasion. A biopsy was performed and the diagnosis was of mucoepidermoid carcinoma. Two local excisions with adjuvant cryotherapy and mitomycin C aplication were carried out in a period of 6 months. After 9 months of follow-up there has not been any sign of recurrence. Conclusions: The early diagnosis and treatment of carcinoma is essential not only to prevent the intraocular spread and preserve visual function but also to prevent local or systemic recurrence and dissemination.
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