Malignant conjunctival melanoma. A case report.

T.K.M. a 50-year old Chinese male presented in March 1985 with a four-year history of multiple pigmented growths in the left conjunctiva. Examination showed a main pedunculated pigmented conjunctival growth of 1.5cm x 1.0cm in size with increased vaseularity and irregular surface at the left upper tarsal conjunctiva (Fig. 1) and a few other scattered lesions over the bulbar and the limbal conjunctiva. Regional lymph nodes were not palpable. A clinical diagnosis of left conjunctival malignant melanoma was made. Chest xray.liver and bone scans showed no evidence of metastasis. A complete wide excision of all the conjunctival lesions with a conjunctival graft from the other eye was performed. The tissue was subjected to histopathological examination. The post operative recovery was uneventful and the patient was discharged well.