Conjunctival Melanoma: A New Clinical and Therapeutical Approach

Area of Science:

• Ophthalmology
• Dermatology
• Oncology

Background:

• Conjunctival melanoma is a rare ocular malignancy with a poorer prognosis than cutaneous melanoma.
• Risk factors for conjunctival melanoma mortality include advanced age and unfavorable tumor location.

Observation:

• This case involves lentigo maligna affecting the palpebral conjunctiva, bulbar conjunctiva, and caruncle.
• Dermoscopic patterns of this rare ocular melanoma were documented.

Findings:

• The study presents a rare case of conjunctival melanoma involving multiple ocular structures.
• Dermoscopy provided insights into the tumor's characteristics.
• Topical imiquimod was explored as a novel therapeutic option.

Implications:

• This case expands understanding of rare ocular melanoma presentations.
• It suggests potential new treatment avenues for conjunctival melanoma.
• Further research into topical imiquimod for ocular cancers is warranted.