Amelanotic corneally displaced malignant conjunctival melanoma: a case report evaluated with impression cytology

Arq Bras Oftalmol. 2014 Jan-Feb;77(1):57-9. doi: 10.5935/0004-2749.20140015.

Abstract

Here we describe the case of a 65-year-old Caucasian female who presented with an amelanotic malignant conjunctival melanoma and highlight the clinical and pathological features of this rare entity that displayed exclusive corneal invasive growth without evidence of conjunctival tumors other than primary acquired melanosis. Impression cytology aided in the initial diagnosis. The patient underwent surgical treatment. Histopathology and immunohistochemistry revealed an invasive amelanotic melanoma limited to the cornea and exhibiting S-100, Melan A, and HMB-45 positivity. The absence of pigmentation delayed early clinical detection and treatment. Awareness of this nonpigmented melanoma is important for early recognition and appropriate management.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomarkers, Tumor / analysis
  • Conjunctival Neoplasms / chemistry
  • Conjunctival Neoplasms / pathology*
  • Female
  • Humans
  • Immunohistochemistry
  • MART-1 Antigen / analysis
  • Melanoma, Amelanotic / chemistry
  • Melanoma, Amelanotic / pathology*
  • Melanoma-Specific Antigens / analysis
  • S100 Proteins / analysis
  • gp100 Melanoma Antigen

Substances

  • Biomarkers, Tumor
  • MART-1 Antigen
  • MLANA protein, human
  • Melanoma-Specific Antigens
  • PMEL protein, human
  • S100 Proteins
  • gp100 Melanoma Antigen