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Cancer of the eye!

๐˜–๐˜ค๐˜ถ๐˜ญ๐˜ข๐˜ณ ๐˜š๐˜ถ๐˜ณ๐˜ง๐˜ข๐˜ค๐˜ฆ ๐˜š๐˜ฒ๐˜ถ๐˜ข๐˜ฎ๐˜ฐ๐˜ถ๐˜ด ๐˜•๐˜ฆ๐˜ฐ๐˜ฑ๐˜ญ๐˜ข๐˜ด๐˜ช๐˜ข (๐˜–๐˜š๐˜š๐˜•)โฃ โฃ Describes the entire spectrum of squamous neoplastic disease from dysplasia to carcinoma in situ and invasive SCCโฃ


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๐“๐ก๐ซ๐ž๐ž ๐ ๐ซ๐š๐๐ž๐ฌ (๐‹๐ž๐ž ๐š๐ง๐ ๐‡๐ข๐ซ๐ฌ๐ญ):โฃ โฃ 1) Benign Dysplasia โฃ Papillomaโฃ Pseudoepitheliomatous hyperplasiaโฃ Benign hereditary intraepithelial dyskeratosisโฃ โฃ 2) Preinvasive OSSN โฃ Conjunctival/corneal carcinoma in situโฃ โฃ 3) Invasive OSSN โฃ Squamous carcinomaโฃ Mucoepidermoid carcinomaโฃ โฃ ๐„๐ญ๐ข๐จ๐ฅ๐จ๐ ๐ข๐œ๐š๐ฅ ๐Ÿ๐š๐œ๐ญ๐จ๐ซ๐ฌ:โฃ โฃ โ— Old ageโฃ โ— Ultraviolet B radiationโฃ โ— Malesโฃ โ— HPV infectionโฃ โ— HIVโฃ โ— Xeroderma pigmentosumโฃ โ— Chemical exposureโฃ โ— Cigarette smokingโฃ โ— Vitamin A deficiencyโฃ โฃ ๐‚๐ฅ๐ข๐ง๐ข๐œ๐š๐ฅ ๐…๐ž๐š๐ญ๐ฎ๐ซ๐ž๐ฌ:โฃ โฃ โ— Most commonly in the interpalpebral area near the limbusโฃ โ— Can extend across limbus to involve corneaโฃ โ— Flat/Raised, pearly-gray or pink well-demarcated mass with feeder vesselsโฃ โ— Fluorescein/lissamine/rose bengal stain used to highlight the lesionโฃ โฃ ๐Œ๐จ๐ซ๐ฉ๐ก๐จ๐ฅ๐จ๐ ๐ข๐œ๐š๐ฅ ๐“๐ฒ๐ฉ๐ž๐ฌ:โฃ โฃ 1. ๐˜—๐˜ญ๐˜ข๐˜ค๐˜ฐ๐˜ช๐˜ฅโฃ -Gelatinous : Commonest, placoid lesion with shiny velvety surface, and tufted vesselsโฃ -Papilliformโฃ -Velvetyโฃ -Leukoplakicโฃ โฃ 2. ๐˜•๐˜ฐ๐˜ฅ๐˜ถ๐˜ญ๐˜ข๐˜ณ: Well circumscribed elevated focal mass with mulberry appearanceโฃ โฃ 3. ๐˜‹๐˜ช๐˜ง๐˜ง๐˜ถ๐˜ด๐˜ฆ variant: Shows radial growth pattern without well defined margin and may mimic chronic blepharoconjunctivitisโฃ โฃ Corneal involvement in OSSN gives a ground glass appearance with well defined borders or a beaten metal appearance on retroilluminationโฃ โฃ ๐ƒ๐ข๐š๐ ๐ง๐จ๐ฌ๐ข๐ฌ:โฃ โฃ โ— Histopathologyโฃ โ— Impression Cytology โฃ โ— AS OCTโฃ โ— Confocal Microscopyโฃ โฃ ๐Œ๐š๐ง๐š๐ ๐ž๐ฆ๐ž๐ง๐ญ:โฃ โฃ โ— Surgical excision with wide margins and edge cryotherapyโฃ โ— Chemotherapy (MMC/5FU)โฃ โ— Radiotherapy (Ruthenium-106)โฃ โ— Immunotherapy with Interferon alpha 2bโฃ โฃ www.ophthalmobytes.comโฃ โฃ Image from Rajan Eye Care Hospital #ophthalmology #ophthal #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med#med #medicaleducation#medicaleducation #ophthalmologyresident#ophthalmologyresident #ophthalmologyresidency#ophthalmologyresidency #ossn#ossn #ocularsurfacesquamousneoplasia#ocularsurfacesquamousneoplasia

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