A 72-year-old man presented with an 8-year history of an enlarging conjunctival mass with several large temporal feeder vessels in the right eye (Fig 1, arrow). Excision was performed and histopathology revealed squamous cell carcinoma (Hematoxylin & Eosin, Figs 2 and 3) with dyskeratosis (star), mitotic figures, apoptotic bodies (arrow), full thickness atypia, pleomorphism, and keratin pearls (asterisk). The patient was started on Interferon alfa 2b therapy to prevent recurrence.
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