We report the case of a Hispanic male whose conjunctival atypical fibroxanthoma (AFX) grew very large, with intraocular as well as extraocular muscle extensions, and was treated with exenteration. A 50-year-old male presented with a one-month history of foreign-body sensation in his left eye. The initial examination revealed an erythematous, vascularized, pedunculated lesion arising from the left eye conjunctiva. A tissue biopsy from the lesion confirmed the diagnosis of an AFX with a small component of squamous cell carcinoma. The patient was intermittently lost to follow-up until, one-and-a-half years after his initial visit, he underwent an exenteration of the left eye as the tumor had intraocular and extraocular muscle extensions. Subsequently, he was scheduled for ongoing monitoring.
Keywords: atypical fibroxanthoma; conjunctiva; cornea; exenteration; tumor.
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