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Ophthalmic Oncology pp 127–138Cite as

Management of Conjunctival Neoplasms

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Part of the book series: M.D. Anderson Solid Tumor Oncology Series ((MDA,volume 6))

Abstract

Melanocytic neoplasms of the conjunctiva include nevus, primary acquired melanosis (PAM) without atypia, PAM with atypia, and conjunctival melanoma. The most common nonmelanocytic tumors of the conjunctiva are squamous cell neoplasms. Surgical excision is the cornerstone of therapy for conjunctival tumors. Proper specimen handling is critical to ensure that lesion orientation is clear to the ocular pathologist. Adjuvant therapy for conjunctival tumors can include cryotherapy and/or topical chemotherapy with mitomycin C, 5-fluorouracil, or interferon, or adjuvant radiation therapy. Tumor thickness and ulceration are important prognostic factors for local control and survival for conjunctival melanomas. Sentinel lymph node biopsy is an important recent consideration for conjunctival melanomas that are thicker than 2 mm or those that have histologic evidence of ulceration.

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Author information

Authors and Affiliations

  1. Section of Ophthalmology, Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    Stella K. Kim, Dan S. Gombos & Bita Esmaeli

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  1. Stella K. Kim
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  2. Dan S. Gombos
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  3. Bita Esmaeli
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Correspondence to Stella K. Kim .

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Editors and Affiliations

  1. M.D. Anderson Cancer Center, Section of Ophthalmology, The University of Texas, Houston, 77030, Texas, USA

    Bita Esmaeli

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Kim, S.K., Gombos, D.S., Esmaeli, B. (2010). Management of Conjunctival Neoplasms. In: Esmaeli, B. (eds) Ophthalmic Oncology. M.D. Anderson Solid Tumor Oncology Series, vol 6. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-0374-7_10

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  • DOI: https://doi.org/10.1007/978-1-4419-0374-7_10

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