J Korean Ophthalmol Soc > Volume 58(8); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(8):896-902.
DOI: https://doi.org/10.3341/jkos.2017.58.8.896    Published online August 15, 2017.
Clinical Features of Compound Nevus.
Han Song, Dae Hee Kim, Do Gyun Kim, Kyong Jin Cho, Ji Won Kwon
1Department of Ophthalmology, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. eyeminerva@naver.com
2Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea.
복합모반의 임상양상
송 한1⋅김대희1⋅김도균1⋅조경진2⋅권지원1
서남대학교 의과대학 명지병원 안과학교실1, 단국대학교 의과대학 안과학교실2
Correspondence:  Ji Won Kwon,
Email: eyeminerva@naver.com
Received: 11 May 2017   • Revised: 10 June 2017   • Accepted: 21 July 2017
Abstract
PURPOSE
To evaluate the clinical features of compound nevus. METHODS: A retrospective chart review of the medical records for 32 eyes of 32 patients who were clinically diagnosed as having a compound nevus from February 2011 to February 2017 was performed. RESULTS: The average follow-up period was 21.38 (range, 6–70) months for the 32 patients (9 males and 32 females), and the average age was 21 (range, 7–41) years old. The development or detection of a nevus varied between patients. There were no associated symptoms except for one patient who experienced foreign body sensation. An increase in size was noted in 5 cases (15%). The most common location in the conjunctiva was bulbar in 30 cases (93.8%), and the most common quadrant was temporal in 21 cases (65.6%) followed by nasal conjunctiva in 11 cases (34.4%). The most common locations of anterior margin and posterior margin were on the limbus (56%) and bulbar conjunctiva (92%), respectively. The mean horizontal length was 2.59 ± 1.9 mm and the mean vertical length was 2.62 ± 2.1 mm. All horizontal and vertical lengths were within 5 mm. An elevated nevus was observed in 25 cases (78.1%), and 18 cases (56.3%) had cystic lesions. The color of the nevi were largely brown (26 cases, 81.3%), and 29 cases (90.6%) had feeder vessels. Excisional biopsy and histologic exam were performed in 22 cases (68.8%). The purpose of the treatment was mostly cosmetic (20 cases, 93.8%) or for differential diagnosis with malignant melanoma (2 cases, 6.3%). In the surgery group, no one showed recurrence or any significant complications. CONCLUSIONS: A conjunctival compound nevus is a benign conjunctival mass and can be found in all age groups. Compound nevus can be diagnosed with clinical features, and complete excision with histological exam is an appropriate treatment to differentiate from malignant melanoma.
Key Words: Clinical features;Compound nevus


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