images in clinical medicine
Extensive squamous cell carcinoma of the lower lid
Boris Jančar
Department of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia
An 88-year-old patient was referred to our unit for the treatment of extensive squamous cell carcinoma of the lower lid of the right eye, extending to the lid and bulbar conjuctiva (Figures 1, 2).
Treatment proposed by ophthalmologist was resection of the lower lid with exenteration of the right eye. The patient was treated with the combination of teletherapy and brachi-therapy. The lower lid and conjunctiva were treated by an ortovoltage unit with the dose of 70 Gy, with the shielding of the globe. The bulbar conjunctiva was treated by an ophthalmic applicator with 90Sr, with the dose of 60 Gy in four fractions. Complete regression of the tumour was achieved.
At the follow-up three years after the completed treatment, there was no local recurrence, distant metastases, or other evidence of disease. (Figures 3, 4).
Figure 1. An extensive squamous cell carcinoma of the Figure 2. An extensive squamous cell carcinoma of the lower lid of the right eye.	lower lid of the right eye.
Figure 3. Three years after the completed treatment Figure 4. Three years after the completed treatment there was no evidence of disease.	there was no local recurrence.
Correspondence to: Prim. Boris Jančar, MD, MSc, Department of Radiation Oncology, Institute of Oncology Ljubljana, Zaloška 2, Ljubljana, Slovenia; Phone; + 386 1 5879 295; Fax: + 386 1 5879 295; E-mail: bojancar@onko-i.si