IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-10-16825 Original Research Paper Spindle cell carcinoma of the conjunctiva: A case report K Patel Dr. Dr.Rupal Chaudhari Dr. October 2018 7 10 01 02 ABSTRACT

An 65–year–old male presented with painless bulging conjunctival lesion. Clinical history, diagnostic imaging studies, and histopathologic sections were evaluated. The patient clinically displayed an vascularized conjunctival lesion located at the temporal limbus with extension onto cornea. His visual acuity was counting fingers at 1m. The patient underwent a total excision of the lesion including conjunctival and corneal parts. Histopathologic evaluation revealed spindle cell carcinoma which involves the whole conjunctival squamous epithelium with significant polarity loss, nuclear enlargement with hyperchromasia and pleomorphism, and mitotic activity. Diagnosis of spindle cell carcinoma is challenging because of overlapping histopathological features with other spindle cell tumors. The detailed pathologic examination is very important for the decision of proper treatment.