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2008 Series - August 12, 2008
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Lecture 21 of 53 NEXT»
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To see views enlarged, click on the individual pictures...
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Photos courtesy of: Carol L. Shields, M.D.
Used with permission. Not to be reproduced. |
| A 74-year-old white male was referred for the management of increasing pigmentation of his left eye. A family history of skin cancer was negative. Best corrected vision is 20/20 in the right eye and 20/40 in the left eye. Shown above are slit lamp pictures of the anterior segment of the left eye. The right eye was quiet. Fundus examination was normal in both eyes. |
| 1. |
What is the clinical diagnosis? |
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| a. |
racial melanosis |
| b. |
conjunctival patchy acquired melanosis (PAM) |
| c. |
conjunctival nevus |
| d. |
ocular melanocytosis |
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| 2. |
What would you not consider for the management of this case? |
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| a. |
observation |
| b. |
excision biopsy |
| c. |
Mitomycin-C |
| d. |
interferon alpha 2B |
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| 3. |
What is not true about the final diagnosis? |
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| a. |
Malignancy can arise from this conjunctival condition. |
| b. |
Long term follow up is required. |
| c. |
It does not spread systemically. |
| d. |
It is not a congenital condition. |
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For answers to the above, click here on or after August 19, 2008.
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