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Late Metastasis in Conjunctival Adenosquamous Carcinoma
Hassan Lami1, Sarrvesa Hari Vijay Singh1, Svetlana Cherepanoff1,2
1Faculty of Medicine, University of New South Wales, Sydney, Australia.
Journal of Ophthalmic & Vision Research
|October 3, 2024
Summary
This case report highlights a rare instance of conjunctival adenosquamous carcinoma (ASC) metastasizing to lymph nodes. Long-term surveillance is crucial for detecting recurrence and metastasis of this conjunctival cancer.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Conjunctival adenosquamous carcinoma (ASC) is a rare ocular surface malignancy.
- Limited data exists regarding the prognosis and optimal surveillance strategies for conjunctival ASC.
Observation:
- A case of conjunctival ASC with metastasis to cervical lymph nodes is presented.
- The metastasis occurred five years post-histological confirmation and complete local excision.
Findings:
- Conjunctival ASC can exhibit late metastasis to regional lymph nodes.
- Complete local excision does not preclude distant recurrence.
Implications:
- This case underscores the importance of long-term clinical follow-up for conjunctival ASC patients.
- Regular surveillance imaging is recommended for early detection of potential disease recurrence or metastasis.
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