[A case of invasive corneal and conjunctival cancer]

The paper presents a case of a 44 years old man, K.Z., with an invasive carcinoma of cornea and conjunctiva of his left eye. The patient was hospitalized for the first time eight years ago due to a viral keratitis of this eye, afterwards for three times due to changes within his cornea and conjunctiva in form of a cauliflower-like whitepink small tumour at the conjunctiva-cornea border line. During his last hospitalization the change covered two thirds of the cornea and it was going over onto the bulbar conjunctiva. The fourfold cytological and histopathological assays of the change did not show carcinomatous cells, but only cells of multi-layer, flat epithelium with features of excessive cornification. It is only the last histopathological assay of the cut-off small tumour that showed that it was carcinoma planoepitheliale keratodes invasivum. The consultant radiologists recommended removing the eye bulb since high radiation doses, which would be necessary, would destroy the eye bulb and yield postradiation reactions. The histopathological assays of the enucleated eye bulb confirmed the diagnosis and showed the superficial infiltration of the conjuctiva border. The patient was subjected to the X-ray treatment over the conjunctival sac region.