An unusual presentation of well-differentiated squamous cell carcinoma of left upper eyelid: Case report

Abstract

Squamous cell carcinoma is mainly an invasive epithelial malignancy having keratinocyte differentiation. They are relatively rare and usually slow growing skin cancer. Well-differentiated squamous cell carcinoma closely resembles normal epithelial cell. We report a case of a sixty-five-year-old female who presented to the ophthalmology outpatient department with the chief complaint of a rapidly growing mass on her left upper eyelid for 6 months interfering with her vision. Physical examination revealed a firm mass of size 3.5 cm x 3 cm x 2.5 cm. RT-PCR for COVID-19 was done and found negative. Routine blood investigations, blood sugar levels, viral serology, chest X-ray were done. Excision and biopsy with wide margins at the base were performed under local anesthesia. Histopathological examination of the specimen showed well differentiated squamous cell carcinoma. The patient responded satisfactorily. Early diagnosis and treatment reduce the morbidity and mortality of the patient.