Case Scenario: An elderly man presented to an oncologist with a complaint of a rapidly enlarging fleshy mass near the right nasal conjunctiva. The patient reported redness, pain, and sensation of a foreign body in his right eye for two weeks. He was prescribed with oral prednisone (20 mg/day) therapy for three weeks, which reduced pain and inflammation. However, there was no change in the appearance of the lesion.
Since the patient did not respond to oral prednisone, it led to the suspicion of a possible malignant neoplasm, and hence, was referred for an ocular oncology consultation. Past Medical History: Four years ago, the patient had encountered a chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) that was treated with rituximab, adriamycin, vincristine sulfate, and prednisone chemotherapy. Two years ago, the patient was diagnosed with bladder cancer that was managed…
