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Br J Ophthalmol 2003;87:1428-1429 doi:10.1136/bjo.87.11.1428
  • Letter

Malignant melanoma of the conjunctiva metastasising to the parotid gland

  1. F Cuthbertson1,
  2. J Luck2,
  3. S Rose2
  1. 1Department of Ophthalmology, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK
  2. 2Royal United Hospital, Combe Park, Bath BA1 3NG, UK
  1. Correspondence to: Dr Fiona Cuthbertson Department of Ophthalmology, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK; fcuthbertsonhotmail.com
  • Accepted 26 March 2003

Conjunctival melanoma is rare, accounting for just 2% of ocular malignancies.1 We present an unusual case of conjunctival melanoma with subsequent metastasis to the parotid gland. A diagnosis was made after fine needle aspiration cytology of the parotid gland was performed in light of the previous history.

Case report

A 79 year old white man presented to the eye clinic in September 1999. He had been noted 3 years previously to have a small inclusion cyst of the bulbar conjunctiva in his right eye, which he complained had increased in size and was becoming red and sore. Examination showed an inflamed pedunculated lesion 1 cm in diameter arising from the nasal limbal conjunctiva (Fig 1). The lesion was granulomatous and amelanotic. There was adjacent corneal opacity. …

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