Caso clínico 1

Female, 61 year-old patient with a dark lesion on the right eye for the past two months. Patient was diagnosed with primary acquired melanosis (PAM) and No touch excisional biopsy was performed. Histopathological evaluation confirmed a corneal-conjunctival melanoma in situ arising from PAM.

PAM presents usually as a unilateral area of ​​conjunctival pigmentation more comonly in middle-age white patients. It can present atypic cells and it is the most important risk factor for the development of conjunctival melanoma.

Keep an eye for conjunctival pigmented lesions!

Pictures 1-3 PAM  / Picture 4 – 1 month after biopsy