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This abstract is assigned to session Poster session

Title	Nasolacrimal extension of a primary conjunctival melanoma
Abstract Nr.	P014

Purpose	To report the clinical findings , treatment and outcome of a patient with an orbital tumor arising from a primary bulbar conjunctival melanoma
Methods	A case report. A 73 year old woman was reffered at the departement of opthalmology because of a papular bulbar conjunctival lesion. Surgical excision was performed and histopathological exam revealed a malignant melanoma. Subsequently further brachytherapy (Ruthenium) was applied at the bulbar site. Three years later a pigmented lesion appeared in the palpebral conjunctiva of the upper fornix. Complete surgical excision was performed.The following years she developped several recurrences of melanoma which were treated with radiotherapy. Eight years after initial presentation a nodular lesion extending into the medial wall of the orbit and the lacrimal sac was found on MRI. An orbital exenteration with complete removal of the lacrimal bone and part of the maxillar bone surrounding the ductus lacrimalis was performed
Conclusion	A strict follow-up and imaging is required to assess and treat locoregional spread in conjunctival melanoma.

Author 1

Last name	REYNTJENS
Initials	B
Department	University Hospital of Antwerp, Departement of opthalmology
City	Antwerp

Author 2

Last name	De Keizer
Initials	R
Department	University Hospital Antwerp, Departement of opthalmology
City	Antwerp

Author 3

Last name	De Groot
Initials	V
Department	University Hospital Antwerp, Departement of opthalmology
City	Antwerp