Basosquamous carcinoma of conjunctiva masquerading as nevus

Primary conjunctival basosquamous carcinoma is an extremely rare tumor. To our knowledge, the present article presents the first case of primary conjunctival basosquamous carcinoma presenting in the second decade of life. The presentation was also unique by virtue of masquerading as conjunctival nevus. An 11-year-old male patient presented with a gradually progressive pigmented lesion in the bulbar conjunctiva of the right eye that was present for the past 5 years. The patient was diagnosed with conjunctival nevus clinically and was operated on for the same. Histopathological examination of excised mass confirmed basosquamous carcinoma. We conclude that primary conjunctival basosquamous carcinoma may present clinically as a nevus in a child.