Question

What are the favorable and unfavorable risk factors in conjunctival melanoma?

Accepted Answer

● Favorable:
○ Epibulbar
● Unfavorable
○ Location:
■ Palpebral, caruncle, eyelid margin,
fornix (non-limbal)
○ Invasion into deeper tissues
○ Thickness > 1.8 mm
○ Pagetoid or full thickness intraepithelial
spread
○ Lymphatic invasion
○ Mixed cell type
○ De novo origin
○ Residual involvement at the surgical margin

Front	What are the favorable and unfavorable risk factors in conjunctival melanoma?
Back	● Favorable: ○ Epibulbar ● Unfavorable ○ Location: ■ Palpebral, caruncle, eyelid margin, fornix (non-limbal) ○ Invasion into deeper tissues ○ Thickness > 1.8 mm ○ Pagetoid or full thickness intraepithelial spread ○ Lymphatic invasion ○ Mixed cell type ○ De novo origin ○ Residual involvement at the surgical margin

Unfavorable Invasion Thickness Favorable Risk Factors Conjunctival Melanoma