Melanocytic conjunctival tumors

Madhavi Kurli, Paul T. Finger

Research output: Contribution to journalReview articlepeer-review

33 Scopus citations

Abstract

Conjunctival melanocytic lesions need to be differentiated into benign, malignant, or indeterminate lesions. Biopsy should be performed on suspicious lesions. Conjunctival melanoma arises from PAM with atypia, nevi, or de novo. Surgical excision of these tumors should be combined with adjuvant cryotherapy, irradiation, or topical chemotherapy. Local recurrence is common, and follow-up should involve examining all conjunctival surfaces and regional lymph node palpation. Prognosis depends on tumor thickness, cell type, location, and the histologic characteristics of invasion. Because of the great potential for regional and distant metastases, patients should have a thorough metastatic survey regularly. Newer techniques for diagnosis and treatment need to be evaluated in the management of conjunctival melanomas and their precursor lesions to improve survival and outcome in these patients.

Original languageEnglish
Pages (from-to)15-24
Number of pages10
JournalOphthalmology Clinics of North America
Volume18
Issue number1
DOIs
StatePublished - Mar 2005
Externally publishedYes

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