Table 1.
Clinical characteristics of conjunctival melanoma treated with IFN-α2b.
| Number | Age | Gender | Size (mm) | Location | Origin | Color | TMN | Depth of invasion (mm) | Histopathology | Surgical margins | Duration of IFN-α2B therapy (months) | Outcome | Recurrence after initial IFN-α2B therapy | Follow up duration (months) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 59 | F | 8 × 4 | Bulbar | PAM with atypia | Amelanotic | pT1cN0M0 | 1.49 | Epithelioid | Positive PAM with atypia at inferior margins | 6 | Remission | N/A | 54 |
| 2 | 32 | F | 1 × 1 | Bulbar | Compound nevus | Pigmented | pT1isN0M0 | 1 | Epithelioid | Positive PAM with atypia at horizontal margins | 6 | Remission | N/A | 33 |
| 3 | 91 | F | 7 × 7 | Bulbar | PAM | Pigmented with feeder vessels | pT1cN0M0 | 3.45 | Epithelioid | Invasive melanoma at deep and limbal borders. PAM at temporal and inferior borders | 6 | Recurrence with metastatic disease to lung, mediastinum and pelvis at 7 months. Ultimately passed away | Seven months following initial resolution of pigment had ptosis. Pathology showed lacrimal gland mass infiltrating the lateral rectus muscle identical to previous biopsy. | N/A |
| 4 | 63 | M | 4 × 7 | Superior and nasal bulbar | Compound nevus | Pigmented | Not enough information | 0.43 | Spindle | Invasive melanoma at all horizontal borders | 6 | Incomplete regression after 6 months of therapy | Six months after therapy had recurrence of pigmentation on superior conjunctiva. Pathology showed infiltrating melanoma with PAM with atypia at superior margin with melanoma in-situ at nasal margin. Treated with excisional biopsy with MMC. | 14 |
| 5 | 59 | F | 1.5 × 1.7 | Nasal bulbar | PAM | Pigmented | pT1aN0M0 | 0.39 | Epithelioid | Invasive melanoma at all horizontal borders and possibly deep margin | 3 | No response and ultimate enucleation | Rebiopsy after lack of response to treatment showed malignant melanoma with positive deep and limbal margins. | 12 |