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Clinicopathological characteristics of ocular surface squamous neoplasia: a 10-year review form a referral tertiary centre in Nigeria

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Abstract

Background

Ocular surface squamous neoplasia (OSSN) is a heterogeneous group of proliferative squamous lesions on the ocular surface with varying biologic behaviours. This study aims to report the clinical profile and pathological characteristics of cases of OSSN seen at a tertiary referral centre in North West Nigeria.

Methods

A retrospective review of all cases of OSSN diagnosed over a 10-year period was done.

Results

OSSN accounted for 68 out of 91 ocular surface lesions affecting twice as many males as females and a peak incidence in the 30–39 years age group. They frequently presented as higher-grade and higher-stage lesions with invasive squamous cell carcinoma being the most frequently diagnosed OSSN. They also frequently showed an association with HIV infection and a relatively long duration of symptoms before presentation.

Conclusion

OSSN occurs in a relatively young age group in our environment. Certain clinical and epidemiological features appear to predict the occurrence of higher-grade lesions, and this may help in the clinical prediction of likely pathologic grade and/or biologic behaviour of these lesions.

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References

  1. Lee GA, Hirst LW (1995) Ocular surface squamous neoplasia. Surv Ophthalmol 39(6):429–450

    Article  CAS  PubMed  Google Scholar 

  2. Basti S, Macsai MS (2003) Ocular surface squamous neoplasia. Cornea 22(7):687–704

    Article  PubMed  Google Scholar 

  3. Gichuhi S, Sagoo MS, Weiss HA et al (2008) Epidemiology of ocular surface squamous neoplasia in Africa. Trop Med Int Health 18(12):1424–1443

    Article  Google Scholar 

  4. Ng J, Coroneo MT, Wakefield D et al (2008) Ultraviolet radiation and the role of matrix metalloproteinases in the pathogenesis of ocular surface squamous neoplasia. Invest Ophthalmol Vis Sci 49(12):5295–5306

    Article  PubMed  Google Scholar 

  5. Trosko J, Krause D, Isoun M (1978) Sunlight-induced pyrimidine dimers in human cells in vitro. Nature 228:358–359

    Article  Google Scholar 

  6. Mittal R, Rath S, Vemuganti GK (2013) Ocular surface squamous neoplasia – review of etio-pathogenesis and an update on clinico-pathological diagnosis. Saudi J Ophthalmol 27(3):177–186. https://doi.org/10.1016/j.sjopt.2013.07.002

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hollhumer R, Williams S, Michelow P (2020) Ocular surface squamous neoplasia: Population demographics, pathogenesis and risk factors. Afr Vis Eye Health 79(1):8

    Article  Google Scholar 

  8. Gichuhi S, Ohnuma S, Sagoo MS et al (2015) Pathophysiology of ocular surface squamous neoplasia. Exp Eye Res 129:172–182

    Article  Google Scholar 

  9. Coroneo MT, Muller-Stolzenburg NW, Ho A (1991) Peripheral light focusing by the anterior eye and the ophthalmohelioses. Ophthalmic Surg 22(12):705–711

    CAS  PubMed  Google Scholar 

  10. Honavar SG, Manjandavida FP (2015) Tumors of the ocular surface: a review. Indian J Ophthalmol 63(3):187–203

    Article  PubMed  PubMed Central  Google Scholar 

  11. Finger PT (2009) The 7th edition AJCC staging system for eye cancer: an international langage for ophthalmic oncology. Arch Pathol Lab Med 133:1197–1198

    Article  PubMed  Google Scholar 

  12. Coupland SE, White VA, Rootman J et al (2009) A TNM-based clinical staging system of ocular adnexal lymphomas. Arch Pathol Lab Med 133:1262–1267

    Article  PubMed  Google Scholar 

  13. Gebremariam TH, Assefa WY, Shiferaw AD et al (2018) Clinical and histopathological characteristics of ocular surface squamous neoplasia: evidence from a tertiary eye care center, northwest Ethiopia. Trends Med 18(6):1–4

    Article  Google Scholar 

  14. Fasina O (2021) Ocular surface squamous neoplasia at a tertiary eye facility, Southwestern Nigeria: a 10-year review. Int Ophthalmol. https://doi.org/10.1007/s10792-021-01894-y

    Article  PubMed  Google Scholar 

  15. Templeton A (1967) Tumours of the eye and adnexa in Africans of Uganda. Cancer 20:1689–1698

    Article  CAS  PubMed  Google Scholar 

  16. Fashina O (2015) Ocular surface squamous neoplasia in Ibadan, Nigeria. Asian J Oncol 1:101–105

    Article  Google Scholar 

  17. Rathi SG, Kapoor AG, Kaliki S (2018) Ocular surface squamous neoplasia in HIV- infected patients: current perspectives. HIV/AIDS-Res Palliat Care 10:33–45

    Article  Google Scholar 

  18. Furahini G, Lewallen S (2010) Epidemiology and management of ocular surface squamous neoplasia in Tanzania. Ophthalmic Epidemiol 17(3):171–176

    Article  PubMed  Google Scholar 

  19. Nguena MB, VanDenTweel JG, Makupa W et al (2014) Diagnosing ocular surface squamous neoplasia in east africa: case-control study of clinical and in vivo confocal microscopy assessment. Ophthalmology 121(2):484–491. https://doi.org/10.1016/j.ophtha.2013.09.027

    Article  PubMed  Google Scholar 

  20. Ogun G, Ogun O, Bekibele C et al (2009) Intraepithelial and invasive squamous neoplasms of the conjunctiva in Ibadan, Nigeria: a clinicopathological study of 46 cases. Int Ophthalmol 29:401–409

    Article  PubMed  Google Scholar 

  21. Gichuhi S, Macharia E, Kabiru J et al (2015) Clinical presentation of ocular surface squamous neoplasia in Kenya. JAMA Ophthalmol 133(11):1305–1313

    Article  PubMed  PubMed Central  Google Scholar 

  22. Fasina O, Fawole OI, Ayeni OA (2014) Orbito-ocular tumours in ibadan, south-west Nigeria. West Afr J Med 33(3):211–215

    CAS  PubMed  Google Scholar 

  23. Kim BH, Kim MK, Wee WR et al (2013) Clinical and pathological characteristics of ocular surface squamous neoplasia in an Asian population. Graefe’s Arch Clin Exp Ophthalmol 251(11):2569–2573

    Article  CAS  Google Scholar 

  24. Singh S, Mohamed A, Kaliki S (2019) Ocular surface squamous neoplasia: analysis based on the 8th American joint committee on cancer classification. Int Ophthalmol. https://doi.org/10.1007/s10792-018-0943-x

    Article  PubMed  Google Scholar 

  25. Yousef Y, Finger P (2012) Squamous carcinoma and dysplasia of the conjunctiva and cornea. Ophthalmology 119:233–240

    Article  PubMed  Google Scholar 

  26. Margo CE, White AA (2014) Ocular surface squamous neoplasia: terminology that is conceptually friendly but clinically perilous. Eye 28:507–509. https://doi.org/10.1038/eye.2014.62

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Guramatunhu S (2003) Squamous cell carcinoma in HIV/ AIDS. Community Eye Heal 16:37

    Google Scholar 

  28. Kao AA, Galor A, Karp CL, Abdelaziz A, Feuer WJ, Dubovy SR (2012) Clinicopathologic correlation of ocular surface squamous neoplasms at bascom palmer eye institute: 2001 to 2010. Ophthalmology 119(9):1773–1776. https://doi.org/10.1016/j.ophtha.2012.02.049

    Article  PubMed  Google Scholar 

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by DES, AAL and GDW. The first draft of the manuscript was written by DES, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Dauda Eneyamire Suleiman.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethical approval

Ethical clearance was received from the institutional Hospital Research and Ethics Committee (HREC). [HREC Number: ABUTH/HREC/M32/2014; Date of approval: 30th December, 2014].

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Suleiman, D.E., Liman, A.A., Waziri, G.D. et al. Clinicopathological characteristics of ocular surface squamous neoplasia: a 10-year review form a referral tertiary centre in Nigeria. Int Ophthalmol 42, 3905–3911 (2022). https://doi.org/10.1007/s10792-022-02411-5

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  • DOI: https://doi.org/10.1007/s10792-022-02411-5

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