Masquerade syndrome in ocular surface squamous neoplasia

Masquerade syndrome in ocular surface squamous neoplasia

ABSTRACT The aim of this study was to alert the ophthalmic community to an atypical manifestation of ocular surface squamous neoplasia, which may delay diagnosis and treatment and result in a guarded visual prognosis and significant sequelae. A 61-year-old immunocompetent man presented with an initial diagnosis of necrotizing scleritis in the right eye for 3 months. He was treated with systemic prednisone but experienced persistent pain and low visual acuity. Conjunctival biopsy of the affected region confirmed the diagnosis of invasive ocular surface squamous neoplasia, which progressed with intraocular and orbital invasion; thus, exenteration was performed. Masquerade syndrome should be suspected in patients with nodulo-ulcerative lesions of the conjunctiva and sclera. This clinical can be more aggressive, with a greater likelihood of intraocular and orbital involvement. The earlier the diagnosis and treatment, the better the patient prognosis.

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Main Authors: Oliveira Cechim,Raysa Victoria de, Santos,Laura Caldas dos, Santoro,Dalton de Freitas, Vieira,Luiz Antônio, Sousa,Luciene Barbosa de, Freitas,Denise de
Format: Digital revista
Language:English
Published: Conselho Brasileiro de Oftalmologia 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005004210
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spelling oai:scielo:S0004-274920220050042102022-03-09Masquerade syndrome in ocular surface squamous neoplasiaOliveira Cechim,Raysa Victoria deSantos,Laura Caldas dosSantoro,Dalton de FreitasVieira,Luiz AntônioSousa,Luciene Barbosa deFreitas,Denise de Neoplasms, squamous cell Conjunctival neoplasms Corneal diseases Eye neoplasms Scleritis Interferon alpha-2 ABSTRACT The aim of this study was to alert the ophthalmic community to an atypical manifestation of ocular surface squamous neoplasia, which may delay diagnosis and treatment and result in a guarded visual prognosis and significant sequelae. A 61-year-old immunocompetent man presented with an initial diagnosis of necrotizing scleritis in the right eye for 3 months. He was treated with systemic prednisone but experienced persistent pain and low visual acuity. Conjunctival biopsy of the affected region confirmed the diagnosis of invasive ocular surface squamous neoplasia, which progressed with intraocular and orbital invasion; thus, exenteration was performed. Masquerade syndrome should be suspected in patients with nodulo-ulcerative lesions of the conjunctiva and sclera. This clinical can be more aggressive, with a greater likelihood of intraocular and orbital involvement. The earlier the diagnosis and treatment, the better the patient prognosis.info:eu-repo/semantics/openAccessConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia n.ahead 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005004210en10.5935/0004-2749.20230027
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Oliveira Cechim,Raysa Victoria de
Santos,Laura Caldas dos
Santoro,Dalton de Freitas
Vieira,Luiz Antônio
Sousa,Luciene Barbosa de
Freitas,Denise de
spellingShingle Oliveira Cechim,Raysa Victoria de
Santos,Laura Caldas dos
Santoro,Dalton de Freitas
Vieira,Luiz Antônio
Sousa,Luciene Barbosa de
Freitas,Denise de
Masquerade syndrome in ocular surface squamous neoplasia
author_facet Oliveira Cechim,Raysa Victoria de
Santos,Laura Caldas dos
Santoro,Dalton de Freitas
Vieira,Luiz Antônio
Sousa,Luciene Barbosa de
Freitas,Denise de
author_sort Oliveira Cechim,Raysa Victoria de
title Masquerade syndrome in ocular surface squamous neoplasia
title_short Masquerade syndrome in ocular surface squamous neoplasia
title_full Masquerade syndrome in ocular surface squamous neoplasia
title_fullStr Masquerade syndrome in ocular surface squamous neoplasia
title_full_unstemmed Masquerade syndrome in ocular surface squamous neoplasia
title_sort masquerade syndrome in ocular surface squamous neoplasia
description ABSTRACT The aim of this study was to alert the ophthalmic community to an atypical manifestation of ocular surface squamous neoplasia, which may delay diagnosis and treatment and result in a guarded visual prognosis and significant sequelae. A 61-year-old immunocompetent man presented with an initial diagnosis of necrotizing scleritis in the right eye for 3 months. He was treated with systemic prednisone but experienced persistent pain and low visual acuity. Conjunctival biopsy of the affected region confirmed the diagnosis of invasive ocular surface squamous neoplasia, which progressed with intraocular and orbital invasion; thus, exenteration was performed. Masquerade syndrome should be suspected in patients with nodulo-ulcerative lesions of the conjunctiva and sclera. This clinical can be more aggressive, with a greater likelihood of intraocular and orbital involvement. The earlier the diagnosis and treatment, the better the patient prognosis.
publisher Conselho Brasileiro de Oftalmologia
publishDate 2022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005004210
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