Open Reconstructive and Cosmetic Surgery

2009, 2 : 7-9
Published online 2009 December 9. DOI: 10.2174/1876976400902010007
Publisher ID: TOPRSJ-2-7

Perineural Spread of Distant Squamous Cell Carcinoma to the Orbit: A Case Report and Review

Michael Kazim , Bina Gurung , Gary J. Lelli, Jr. and Joseph Walrath
Harkness Eye Institute, Columbia Presbyterian Hospital, 635 W. 165 Street, NY 10032, New York.

ABSTRACT

An 80 year-old man presented subacutely with a well-circumscribed superior orbital mass and associated ipsilateral numbness in the frontal nerve distribution. Histopathology after open biopsy revealed well-differentiated invasive squamous cell carcinoma [SCC]. Though no previous history of cancer was elicited from the patient, his dermatologist reported removing three squamous cell carcinomas from the right forehead in the past ten years. Herein, we report a case of perineural orbital spread of distant primary cutaneous SCC.