title: Amelanotic malignant melanoma of the conjunctiva with local metastasis to the eyelid.
abstract: Conjunctival melanomas are uncommon. The amelanotic variety is extremely rare. We describe a patient with an amelanotic melanoma of the superior conjunctiva that was primarily excised, followed by extensive conjunctival resection and liquid nitrogen cryotherapy applied to the tumour bed. Eight months later a local metastatic lesion was noted in the lower eyelid. Eyelid metastasis in conjunctival melanoma is uncommon but may occur owing to the rich lymphatic vasculature within the conjunctiva.
authors.affiliation: Department of ophthalmology, University of Ottawa, Ont.
authors.forename: D R
authors.initials: DR
authors.lastname: Jordan
authors.forename: N
authors.initials: N
authors.lastname: Mamalis
authors.forename: G L
authors.initials: GL
authors.lastname: White
authors.forename: S O
authors.initials: SO
authors.lastname: Hansen
authors.forename: R L
authors.initials: RL
authors.lastname: Anderson
mesh_terms: D000368:Aged; D003230:Conjunctival Neoplasms / Q000473:pathology* / Q000601:surgery; D003452:Cryosurgery; D005142:Eyelid Neoplasms / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D008545:Melanoma / Q000473:pathology* / Q000556:secondary / Q000601:surgery