Pediatric conjunctival melanoma arising from a compound nevus

Katy C. Liu, Prithvi Mruthyunjaya, Alan D. Proia, Gargi K. Vora

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We present a rare case of conjunctival melanoma in a 9-year-old girl who presented with a conjunctival lesion of the left eye, growth of which was documented by patient photographs. Examination showed a raised pigmented lesion at the temporal limbus, with fine surrounding vessels. Enhanced depth imaging–optical coherence tomography showed no invasion into the sclera. The patient underwent excisional biopsy, and histopathology revealed conjunctival melanoma arising from a nevus with malignant cells that stained positively with markers HMB-45 and Ki-67. Systemic workup was negative for metastatic disease. Conjunctival nevi are the most common melanocytic conjunctival lesions in children and generally demonstrate physiologic growth during adolescence. Thus, there may be a greater risk of misdiagnosis of conjunctival melanoma in a child.

Original languageEnglish (US)
Pages (from-to)416-418
Number of pages3
JournalJournal of AAPOS
Volume21
Issue number5
DOIs
StatePublished - Oct 2017

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

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