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Conjunctival Blue Naevus in an Anophthalmic Socket.
Hibba Quhill1, Paul A Rundle2, Hardeep Singh Mudhar3
1Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield, UK.
Ocular Oncology and Pathology
|October 27, 2017
Summary
A rare conjunctival nevus, a type of benign pigmented lesion, was found in a 16-year-old male's anophthalmic socket. This case highlights the importance of monitoring such lesions for potential melanoma transformation.
Area of Science:
- Ophthalmology
- Dermatology
- Pathology
Background:
- Anophthalmic sockets can develop various lesions after eye removal.
- Conjunctival pigmentation in an anophthalmic socket is uncommon.
- Previous ocular trauma and enucleation preceded the lesion's appearance.
Purpose of the Study:
- To document an unusual case of conjunctival pigmentation in an anophthalmic socket.
- To characterize the histopathological and immunohistochemical features of the lesion.
- To discuss the potential pathogenesis and management of this rare finding.
Main Methods:
- Clinical examination of a 16-year-old male with an anophthalmic socket.
- Biopsy of a pigmented conjunctival lesion.
- Histopathological analysis and immunohistochemistry (Melan A, HMB45, CD68, pan-cytokeratins).
Main Results:
- A flat, subepithelial, dark brown pigmented lesion with irregular borders was identified.
- Biopsy revealed a conjunctival, subepithelial melanocytic lesion consistent with a blue nevus.
- Immunohistochemistry confirmed melanocytic origin and ruled out other cell types.
Conclusions:
- This is the first reported case of a conjunctival nevus in an anophthalmic socket.
- A pathogenesis involving post-enucleation changes is proposed.
- Regular surveillance is recommended due to the potential risk of melanoma transformation.
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