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[Conjunctival nevi in Denmark 1960-1980. A 21-year follow-up]
I L Gerner1, J C Nørregaard, O A Jensen
1H:S Frederiksberg Hospital, øjenafdelingen.
Ugeskrift for Laeger
|June 26, 1998
Summary
Conjunctival naevi excision rates are increasing, possibly due to sun exposure. Recurrence was noted in 2.7% of cases, with one malignant transformation, highlighting the need for careful management of these conjunctival growths.
Area of Science:
- Ophthalmology
- Dermatology
- Oncology
Context:
- Conjunctival naevi are benign growths on the eye's surface.
- Understanding their characteristics is crucial for diagnosis and management.
- Previous studies have explored various aspects, but trends in excision and recurrence warrant further investigation.
Purpose:
- To analyze the clinicopathological features of 343 conjunctival naevi.
- To identify trends in surgical excision rates and potential causative factors.
- To evaluate recurrence rates and malignant transformation risks associated with conjunctival naevi.
Summary:
- A study of 343 conjunctival naevi revealed an increasing excision rate, potentially linked to actinic ray exposure.
- Naevi distribution was even across the caruncle, limbal area, and eyeball.
- Intrastromal naevi were excised at a higher median age than compound naevi, while junctional naevi had the lowest median age.
- Recurrence occurred in 2.7% of cases, predominantly in the limbal area and in women, suggesting hormonal influence.
- One case of malignant melanoma transformation was reported.
Impact:
- Provides insights into the changing incidence of conjunctival naevi.
- Highlights the importance of considering environmental factors like sun exposure.
- Informs clinical recommendations for the management and follow-up of conjunctival naevi.
- Contributes to understanding risk factors for recurrence and malignant transformation.