Parotid Gland Metastasis of Conjunctival Squamous Cell Carcinoma: A Case Report of a Rare Phenomenon

Squamous cell carcinoma (SCC) of the conjunctiva is rare. It is commonly associated with ultraviolet ray exposure, viral infections, and conjunctivitis. Its management includes surgical excision with adjuvant treatment. Surgery alone leads to a high risk of recurrence even in early stages. Local recurrence is most common, and chemotherapy is preferred over resurgery in such cases. Lymphatic and distant metastases are seen in advanced cases. Here, we present an elderly female with early-stage SCC of the conjunctiva who underwent surgery alone, defaulted, and presented with parotid gland metastasis without any evidence of residual disease in the eye. The various lines of management have been discussed here.