Abstract
Histological and clinical evaluation of conjunctival pigmented lesions in children and adolescents
- Department of Pediatric Ophthalmology and Strabology, Medical University of Bialystok, Poland
- Department of Medical Pathomorphology, Medical University of Bialystok, Poland
- Department of Pediatric Ophthalmology and Strabology, Ludwik Zamenhoff University Paediatric Hospital, Bialystok, Poland
Purpose
To analyze histological and clinical features of pigmented conjunctival lesions in children and adolescents.
Material and methods
Series of surgically removed conjunctival lesions were analysed retrospectively at Ludwik Zamenhoff University Paediatric Hospital between 2001 and 2016.
Results
30 pigmented lesions in 30 children (mean age 11.2 years) were excised during the analyzed period. The anatomical locations of the lesions included bulbar conjunctiva (46.7%), juxtalimbal area (without corneal involvement) (26.7%), lacrimal caruncle (20%), and plica semilunaris (6%). Histopathological diagnosis was: compound nevus (73.4%), junctional nevus (23.3%) and malignant melanoma (3.3%). The postoperative course was uneventful in all cases and there was no recurrence in patient with melanoma.
Conclusions
Although conjunctival nevi in children are usually benign, malignant melanoma should be taken into account during diagnosis and treatment.
Keywords
conjunctival nevi, melanoma, children, adolescents
Integrated with
