Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct
A 42-year-old Asian Indian male with a history of conjunctival melanoma in the left eye presented with a recurrent tumor in the upper tarsal conjunctiva. The tumor was completely excised under margin control, followed by two-staged eyelid reconstruction. During the second stage of the eyelid reconst...
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Wolters Kluwer Medknow Publications
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doaj-3b56c29ffe0d434394b38dd695b5f1102020-11-24T23:25:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892018-01-0166230230310.4103/ijo.IJO_886_17Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal ductRaksha RaoSantosh G HonavarMichelle De PaduaKaustubh MulayVijayanand P ReddyA 42-year-old Asian Indian male with a history of conjunctival melanoma in the left eye presented with a recurrent tumor in the upper tarsal conjunctiva. The tumor was completely excised under margin control, followed by two-staged eyelid reconstruction. During the second stage of the eyelid reconstruction, a brown-colored discharge was noted at the punctum, which on cytology was confirmatory of melanoma. Left dacryocystectomy with en bloc nasolacrimal duct (NLD) excision was performed. Histopathology demonstrated infiltration of the NLD by the tumor with no presence of melanoma in the lacrimal sac. Lacrimal oncorrhea is a term used to describe tumor spread by free-floating cells in the tear film. All conjunctival tumors carry a risk of tumor spread by oncorrhea.http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=2;spage=302;epage=303;aulast=RaoConjunctivamelanomamelanorrheaoncorrheatumor spread |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Raksha Rao Santosh G Honavar Michelle De Padua Kaustubh Mulay Vijayanand P Reddy |
spellingShingle |
Raksha Rao Santosh G Honavar Michelle De Padua Kaustubh Mulay Vijayanand P Reddy Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct Indian Journal of Ophthalmology Conjunctiva melanoma melanorrhea oncorrhea tumor spread |
author_facet |
Raksha Rao Santosh G Honavar Michelle De Padua Kaustubh Mulay Vijayanand P Reddy |
author_sort |
Raksha Rao |
title |
Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct |
title_short |
Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct |
title_full |
Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct |
title_fullStr |
Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct |
title_full_unstemmed |
Melanorrhea: Noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct |
title_sort |
melanorrhea: noncontiguous spread of palpebral conjunctival melanoma to the nasolacrimal duct |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2018-01-01 |
description |
A 42-year-old Asian Indian male with a history of conjunctival melanoma in the left eye presented with a recurrent tumor in the upper tarsal conjunctiva. The tumor was completely excised under margin control, followed by two-staged eyelid reconstruction. During the second stage of the eyelid reconstruction, a brown-colored discharge was noted at the punctum, which on cytology was confirmatory of melanoma. Left dacryocystectomy with en bloc nasolacrimal duct (NLD) excision was performed. Histopathology demonstrated infiltration of the NLD by the tumor with no presence of melanoma in the lacrimal sac. Lacrimal oncorrhea is a term used to describe tumor spread by free-floating cells in the tear film. All conjunctival tumors carry a risk of tumor spread by oncorrhea. |
topic |
Conjunctiva melanoma melanorrhea oncorrhea tumor spread |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=2;spage=302;epage=303;aulast=Rao |
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