Management of a Patient With a Very Large Ocular CSCC Tumor

A 64-Year-Old Woman With Very Large Ocular CSCC Tumor

• History
  • A 64-year-old woman was referred for a left lower eyelid lesion that was rapidly increasing in size. She complained of intermittent twitching and numbness in the area. She reported that the lesion started on the lower eyelid.
  • PMH: stent placed 10 years ago; hyperlipidemia, well controlled on simvastatin; hypertension, well controlled on metoprolol; rheumatoid arthritis
• PE
  • Ulcerated lesion, approximately 8-mm in diameter
  • ECOG PS 1
• Imaging confirmed perineural, vascular, and bone invasion
• Biopsy confirmed cutaneous squamous cell carcinoma, poorly-differentiated, Clark level V, perineural invasion, vascular invasion
• Stage: T3N0M0