Bulbar conjunctival metastasis from mucoepidermoid carcinoma
The incidence of distant metastasis seen in mucoepidermoid carcinoma (MEC) of salivary glands is almost 13% [1]. Distant metastasis is most commonly seen in the lung (25%) followed by the liver (25%) and bone (18%), respectively [2].

We report here a rare case of isolated distal metastasis of MEC parotid to the bulbar conjunctiva of the ipsilateral eye. The consent for publishing this case report was taken from the institute’s ethics committee—Sher-i-Kashmir Institute of Medical Sciences Ethics Committee. Such a case is unusual and, to our knowledge (following thorough search on PubMed and Google), has not been previously reported.

Case presentation
A 65-year-old Kashmiri male patient, hypertensive, presented to the Surgical Oncology department of a tertiary care referral center with exophytic lesion of the left bulbar conjunctiva, following his initial surgery for left parotid gland mucoepidermoid carcinoma. Magnetic resonance imaging of the head and neck along with computed tomographic scan of the chest was done before the previous surgery, which showed lesion confined to the parotid gland, without any regional or distant metastases. The patient underwent radical parotidectomy along with neck dissection followed by radiotherapy. ...