Surgical management of conjunctival tumors. The 1994 Lynn B. McMahan Lecture

Archives of Ophthalmology
Jerry A ShieldsP De Potter

Abstract

To our knowledge, there are no articles that describe the specific step-by-step details of the surgical removal of premalignant and malignant conjunctival tumors. We describe our current approach to the surgical management of squamous cell carcinoma (intraepithelial or invasive), localized melanoma, and primary acquired melanosis of the conjunctiva. The surgical method differs with limbal tumors, extralimbal tumors, and primary acquired melanosis. Limbal lesions are managed by localized alcohol corneal epitheliectomy, removal of the main mass by a partial lamellar scleroconjunctivectomy, and supplemental cryotherapy. Tumors located in the extralimbal conjunctiva are managed by alcohol application, wide circumferential surgical resection, and cryotherapy. Primary acquired melanosis is managed by alcohol epitheliectomy, removal of suspicious foci, quadrantic staging biopsies, and cryotherapy from the underside of the conjunctiva. In all cases, a "no touch" method is used and direct manipulation of the tumor is avoided to prevent tumor cell seeding into a new area. We have employed this technique on 109 patients with conjunctival squamous neoplasms and 137 patients with conjunctival melanoma, about 80 of which neoplasms were assoc...Continue Reading

Citations

May 29, 2000·Ophthalmic Plastic and Reconstructive Surgery·J A ShieldsJ Cater
May 5, 2006·Clinical & Experimental Ophthalmology·Ritu AroraS Datta Gupta
Aug 19, 2007·Current Opinion in Ophthalmology·Carol L Shields, Jerry A Shields
Aug 26, 2009·Clinical & Experimental Ophthalmology·Natalie Walsh-Conway, R Max Conway
Nov 26, 2010·Clinical & Experimental Ophthalmology·Rushmia Karim, R Max Conway
Dec 29, 2010·European Journal of Ophthalmology·Rimvydas S AsoklisGrazina Juodkaite
May 15, 2015·Indian Journal of Ophthalmology·Santosh G Honavar, Fairooz P Manjandavida
Feb 11, 2016·Indian Journal of Ophthalmology·Akshay Gopinathan NairMilind N Naik
Oct 16, 2018·Ocular Oncology and Pathology·Hershel PatelCurtis E Margo
Aug 17, 2019·Eye and Vision·Ghada Al BayyatCarol L Karp
Jun 6, 2020·Ocular Immunology and Inflammation·Matthew Ong Beng SengRupesh Agrawal
Aug 5, 2020·Acta Ophthalmologica·Lauge Hjorth Mikkelsen
Oct 20, 2001·Ophthalmic Plastic and Reconstructive Surgery·J A ShieldsA D Singh
Sep 21, 2004·Cancer Control : Journal of the Moffitt Cancer Center·Seymour Brownstein
Mar 12, 2002·Clinical & Experimental Ophthalmology·Mark DaniellDerek Tole
Sep 26, 2003·Cornea·Surendra Basti, Marian S Macsai
Mar 22, 2005·Ophthalmic Plastic and Reconstructive Surgery·Jerry A ShieldsCarol L Shields
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Stephen Gichuhi, James H Irlam
Jun 27, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·N ArendC Hintschich
Jul 28, 2016·Vestnik oftalmologii·V I LazarenkoR I Shatilova
May 31, 2017·Eye & Contact Lens·Dhivya Ashok Kumar, Amar Agarwal
Dec 1, 2017·Ocular Immunology and Inflammation·Lily ZhangCarol L Karp
Jul 22, 2018·Ophthalmology and Therapy·Maria Vittoria CicinelliGiulio Modorati
Jan 16, 2019·Ocular Oncology and Pathology·Pia R MendozaHans E Grossniklaus
Jul 25, 2003·Ophthalmic Plastic and Reconstructive Surgery·Jerry A Shields, Carol L Shields
Oct 1, 2004·Melanoma Research·Gian Marco TosiMarco Burroni
Mar 12, 2002·Clinical & Experimental Ophthalmology·Christopher Layton, William Glasson
Feb 27, 2003·Cornea·Carsten HeinzKlaus-Peter Steuhl
Apr 19, 2007·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Zhe ZhangFei Gao
Jun 1, 2002·American Journal of Clinical Oncology·Cornelia Werschnik, Peter K Lommatzsch
May 18, 2013·Current Opinion in Ophthalmology·Afshan A NanjiCarol L Karp
Oct 22, 2014·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Lindsay A McGrath, Graham A Lee
Jul 28, 2016·Vestnik oftalmologii·R N Balaeva, E M Kasimov
Feb 12, 2017·Expert Review of Ophthalmology·Ibrahim O Sayed-AhmedCarol L Karp
Aug 21, 2012·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Sean Paul, Donald U Stone
Jan 18, 2015·The British Journal of Ophthalmology·Xinan ShengJun Guo
Apr 9, 2016·Eye & Contact Lens·Shilpa J DesaiM Reza Vagefi

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