Carcinoma of the conjunctiva is a malignant tumor which is mostly detected and surgically treated at an early stage because of\nmedical or cosmetic problems. Exceptions of this rule may occur in developing countries, where patients do not have access\nto standard medical care systems. We report the case of a conjunctival carcinoma in an African patient with an unusually late\npresentation. Because of local medical shortcomings, and considering the severe, trans mural inflammation of anterior ocular\nstructures, an exenteration was performed although the orbit was not deeply involved with the tumor.The strong nuclear expression\nof p53 indicates a major role of UV exposure in this case. A total of 16-month follow-up in this patient and larger published series\nsuggest that the risk of metastasis is rather low under those circumstances, even with invasive tumors.
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