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PURPOSE To report a unique case of primary corneal melanoma. METHODS A 59-year-old white woman underwent keratectomy to remove a pigmented rapidly enlarging growth on the corner of her left eye. The specimen was submitted for histopathologic examination. RESULTS Ophthalmic examination disclosed no association with limbal or conjunctival melanocytic abnormalities. Histopathologic studies dem...

A 39-year-old Caucasian woman with a history of recurrent conjunctival melanoma of her right eye developed an intrastromal heavily pigmented malignant melanoma, which involved the whole corneal diameter. The patient was treated by corneoscleral lamellar keratoplasty and there has been no evidence of recurrent neoplasm during 4 years of follow-up. This apparently unique presentation of malignant...

Ocular melanocytic lesions comprise a spectrum of lesions ranging from benign nevi to invasive melanoma. Clinical and histopathological appearance of conjunctival lesions ranges from freckle to lentigo and to nevi. Between these types, conjunctival nevi and conjunctival melanosis are the most frequent. Conjunctival and uveal melanocytes are derived from the neural crest, as their cutaneous coun...

BACKGROUND/AIM This study aimed to develop an algorithm allowing the differentiation between conjunctival melanoma and other melanocytic infiltrations of conjunctiva, on basis a dermatoscopic examination. PATIENTS AND METHODS A total 160 pigmented lesions were studied (40 melanomas 120 non-melanoma infiltrations). The clinical characteristics tumours assessed with use as described by Kittler, t...

An 81-year-old woman with a raised pigmented nodule over her left cornea for 7 months duration was examined. Dark conjunctival pigmentation was observed in the upper bulbar fornix conjunctiva. She had previously undergone primary surgical excision of a malignant conjunctival melanoma four years earlier. The tumor separated easily from the corneal surface, but remained slightly attached to the c...