Which conjunctival lesion is known for potential progression to melanoma?

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Prepare for the NBEO Ocular Disease Exam Part 1 with our comprehensive test questions. Use flashcards and detailed explanations to understand key concepts and improve your knowledge. Get exam-ready today!

Multiple Choice

Which conjunctival lesion is known for potential progression to melanoma?

Explanation:
Primary acquired melanosis is an acquired, flat pigmented lesion of the conjunctiva in adults that carries the potential to transform into melanoma, especially when there is histologic atypia. This makes PAM the lesion most associated with progression to conjunctival melanoma. Conjunctival nevus is typically benign and less likely to become melanoma; concretions and cysts are nonpigmented conditions and do not carry melanoma risk.

Primary acquired melanosis is an acquired, flat pigmented lesion of the conjunctiva in adults that carries the potential to transform into melanoma, especially when there is histologic atypia. This makes PAM the lesion most associated with progression to conjunctival melanoma. Conjunctival nevus is typically benign and less likely to become melanoma; concretions and cysts are nonpigmented conditions and do not carry melanoma risk.

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