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

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.