Melanocytic Nevus of the Tarsal Conjunctiva

Yazıcı, Bülent; Bilge, Ayşe Dolar; Yağcı, Ayşe; Naqadan, Faisal; Altıntepe, Filiz

doi:10.5152/balkanmedj.2016.150317

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…A recent study reported 3 cases of blue nevi arising in the fornix [ 9 ]. Another case series reported 2 cases of melanocytic nevi involving the superior and inferior palpebral forniceal conjunctiva [ 10 ]. Previous cases reported in the literature of conjunctival forniceal nevi have had dark brown pigmentation (3 cases), intralesional cysts (2 cases), partial pigmentation (1 case), and moderate pigmentation (3 cases) [ 8 – 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another case series reported 2 cases of melanocytic nevi involving the superior and inferior palpebral forniceal conjunctiva [ 10 ]. Previous cases reported in the literature of conjunctival forniceal nevi have had dark brown pigmentation (3 cases), intralesional cysts (2 cases), partial pigmentation (1 case), and moderate pigmentation (3 cases) [ 8 – 10 ]. Interestingly, the majority of prior cases reported in the literature were inferomedial in location, with only one previous report of a nevus involving the superior fornix.…”

Section: Discussionmentioning

confidence: 99%

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Melanocytic Nevus of the Superior Conjunctival Fornix: A Case Report

Adetunji,

Cummings,

Materin

et al. 2024

Case Rep Ophthalmol

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Introduction: Conjunctival nevi are benign tumors that are commonly located at the nasal or temporal limbus and rarely in the fornix or tarsus. We report a case of a patient presenting with a solitary compound cystic nevus of the conjunctival fornix in the background of bilateral complexion-associated melanosis. Case Presentation: A 71-year-old African-American female was referred for evaluation of an incidentally noted melanocytic lesion of the right conjunctival fornix. The patient underwent an excisional biopsy, revealing histological features consistent with a compound cystic nevus. Conclusion: This finding is noteworthy due to the rarity of conjunctival nevi originating in the fornix. The case underscores the importance of excisional biopsy in evaluating conjunctival forniceal melanocytic lesions to exclude malignant melanoma, a critical consideration for prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Melanocytic Nevus of the Superior Conjunctival Fornix: A Case Report

Adetunji,

Cummings,

Materin

et al. 2024

Case Rep Ophthalmol

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“…altered pigmentation, size and vascularisation) may indicate the onset of a malignant transformation. Malignancy may also manifest as late onset conjunctival pigmented lesions, lesions located in the tarsal conjunctiva and conjunctival fornix as well as the absence of cysts on the surface of the lesion (1,2,5,12). Monitoring a group of 410 patients with conjunctival pigmented lesions, Shield et al noticed an increase of lesion size in 7% of cases, its altered colour in 5% of cases, darkening of conjunctival lesions in 13% cases and lesion growth in 8% of cases (2).…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of conjunctival nevi in pediatric patients

Rakusiewicz¹,

Kanigowska²,

Grajkowska³

et al. 2019

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Aim: To analyse histological evaluation findings in children with conjunctival pigmented lesions. Material and methods: A retrospective medical record analysis of patients with conjunctival pigmented lesions treated between 2009 and 2018 was carried out. The patients (n=145; 87 males, 58 females) were aged 1 to 18 years (mean age of 10 years) underwent surgical treatment at the Department of Ophthalmology, at the Children's Memorial Health Institute. Results: Out of 146 analysed conjunctival lesions, 132 (90.41 %) were conjunctival nevi. Histological evaluation findings were melanocytic nevus (61 eyes, 41.78%), compound nevus (47 eyes; 32.19%), junctional nevus (23 eyes;15.75%) and subepithelial nevus (1 eye; 0.68%). The nevi were located in the bulbar conjunctiva (119 lesions, 81.51%) and lacrimal caruncle (27 lesions, 18.49%). The lesions found in the bulbar conjunctiva were usually located temporally (77 eyes, 64.71%) and nasally (42 eyes, 35.29%). In 14 cases (9.59%), the diagnosis of conjunctival pigmented lesion was ruled out with histology evaluation demonstrating inflammation (3 cases), inflammation with fibrosis (2 cases), melanosis (2 cases) as well as lentigo, subconjunctival haemorrhage, lymphangioma, haemangioma, severe conjunctival oedema with dilated lymphatic vessels, elevated melanocyte count and fibrotic connective tissue (one case of each). Conclusions: Conjunctival lesions in children are mostly benign with conjunctival nevus being the most common finding of histological evaluation.

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Clinical Features of Compound Nevus

Song

Kim

et al. 2017

J Korean Ophthalmol Soc

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Purpose:To evaluate the clinical features of compound nevus. Methods: A retrospective chart review of the medical records for 32 eyes of 32 patients who were clinically diagnosed as having a compound nevus from February 2011 to February 2017 was performed. Results:The average follow-up period was 21.38 (range, 6-70) months for the 32 patients (9 males and 32 females), and the average age was 21 (range, 7-41) years old. The development or detection of a nevus varied between patients. There were no associated symptoms except for one patient who experienced foreign body sensation. An increase in size was noted in 5 cases (15%). The most common location in the conjunctiva was bulbar in 30 cases (93.8%), and the most common quadrant was temporal in 21 cases (65.6%) followed by nasal conjunctiva in 11 cases (34.4%). The most common locations of anterior margin and posterior margin were on the limbus (56%) and bulbar conjunctiva (92%), respectively. The mean horizontal length was 2.59 ± 1.9 mm and the mean vertical length was 2.62 ± 2.1 mm. All horizontal and vertical lengths were within 5 mm. An elevated nevus was observed in 25 cases (78.1%), and 18 cases (56.3%) had cystic lesions. The color of the nevi were largely brown (26 cases, 81.3%), and 29 cases (90.6%) had feeder vessels. Excisional biopsy and histologic exam were performed in 22 cases (68.8%). The purpose of the treatment was mostly cosmetic (20 cases, 93.8%) or for differential diagnosis with malignant melanoma (2 cases, 6.3%). In the surgery group, no one showed recurrence or any significant complications. Conclusions: A conjunctival compound nevus is a benign conjunctival mass and can be found in all age groups. Compound nevus can be diagnosed with clinical features, and complete excision with histological exam is an appropriate treatment to differentiate from malignant melanoma. J Korean Ophthalmol Soc 2017;58(8):896-902

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Melanocytic Nevus of the Tarsal Conjunctiva

Cited by 3 publications

References 8 publications

Melanocytic Nevus of the Superior Conjunctival Fornix: A Case Report

Melanocytic Nevus of the Superior Conjunctival Fornix: A Case Report

Surgical treatment of conjunctival nevi in pediatric patients

Clinical Features of Compound Nevus

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