Nasal and orbital recurrence of conjunctival melanoma 21 years after exenteration

In our experience 5% of invasive malignant melanomas of the conjunctiva arising from areas of primary acquired melanosis with atypia spread to the ipsilateral nasal cavity and paranasal sinuses. Twenty one years after orbital exenteration for multicentric conjunctival melanoma an 82-year-old man was...

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Veröffentlicht in:British journal of ophthalmology 1992-06, Vol.76 (6), p.369-371
Hauptverfasser: Paridaens, A. D., McCartney, A. C., Lavelle, R. J., Hungerford, J. L.
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container_end_page 371
container_issue 6
container_start_page 369
container_title British journal of ophthalmology
container_volume 76
creator Paridaens, A. D.
McCartney, A. C.
Lavelle, R. J.
Hungerford, J. L.
description In our experience 5% of invasive malignant melanomas of the conjunctiva arising from areas of primary acquired melanosis with atypia spread to the ipsilateral nasal cavity and paranasal sinuses. Twenty one years after orbital exenteration for multicentric conjunctival melanoma an 82-year-old man was seen with an orbital recurrence, which had extended to the nasal cavity and paranasal sinuses through the nasolacrimal duct without invading the mucosa. This previously undescribed way of spread after the longest symptom-free interval following exenteration ever reported is illustrated.
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Conjunctival Neoplasms
Eye Enucleation
Humans
Male
Medical sciences
Melanoma - pathology
Melanoma - secondary
Nose Neoplasms - pathology
Nose Neoplasms - secondary
Ophthalmology
Orbital Neoplasms - pathology
Orbital Neoplasms - secondary
Time Factors
Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus
title Nasal and orbital recurrence of conjunctival melanoma 21 years after exenteration
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