Melanoma conjuntival de evolución rápida
- González-Andrades, Miguel
- Ríos-Pelegrina, Rosa
- González Gallardo, M. Carmen
- Padilla Torres, Jose
- McAlinden, Colm
ISSN: 0365-7965
Year of publication: 2020
Tome: 105
Issue: 811
Pages: 230-232
Type: Article
More publications in: Actualidad médica
Abstract
A 73-year-old male presented with a pigmented nodular lesion in the inferonasal bulbar conjunctiva. Histopathological examination revealed a neoplastic melanocytic proliferation. This was characterized by vessel proliferation within the base of the lesion and invasive melanoma cells, positive for Melan-A. The patient underwent a dry “no touch” excision and a superficial sclerectomy. There were no signs of recurrence after 12 months of follow-up. However, it is necessary to perform a longer follow-up for greater security.
Bibliographic References
- De Potter P, Shields CL, Shields JA, Menduke H. Clinical predictive factors for development of recurrence and metastasis in conjunctival melanoma: a review of 68 cases. Br J Ophthalmol. 1993; 77(10):624-30. DOI: 10.1038/eye.2012.254
- Feng G, Yi Y, Li Y. 777 cases of the primary conjunctival neoplasms. Yan Ke Xue Bao. 1995 Dec; 11(4):211-5.
- Kenawy N, Lake SL, Coupland SE, Damato BE. Conjunctival melanoma and melanocytic intra-epithelial neoplasia. Eye (Lond). 2013; 27(2):142-52. DOI: 10.1038/eye.2012.254
- Shields CL, Shields JA, Gündüz K, Cater J, Mercado GV, Gross N, Lally B. Conjunctival melanoma: risk factors for recurrence, exenteration, metastasis, and death in 150 consecutive patients. Arch Ophthalmol. 2000; 118(11):1497-507. DOI: 10.1001/archopht.118.11.1497