Squamous Cell Carcinoma - Upper Lid Neglected Huge Mass: A Case Report

Abstract

A neglected eyelid mass can be intimidating, especially if leave untreated, as it can invade the orbit, resulting in blindness. We present a case of delayed treatment for squamous cell carcinoma in right upper lid of a 46-year-old lady. She was diagnosed with squamous cell carcinoma of right upper lid 3 years ago but defaulted treatment because of fears. She postponed her surgery due to pre-operative anxiety issue and potential outcomes. Over time, the tumor grew larger, eventually causing blindness in her right eye. Upon returning 3 years later, she had a large, firm and irregular fungating mass with whitish plaque originating from the right upper eyelid, covering the entire eyeball. Computer tomography of the orbit demonstrated a large soft tissue mass in the right periorbital region with lacrimal gland infiltration and possible orbital involvement. After comprehensive consultation, the patient consented to surgery. An extended orbital exenteration was performed due to the tumor's invasive nature. This case highlights how anxiety can delay treatment and lead to severe complications. Early intervention is crucial in managing eyelid malignancies effectively.