Malignant transformation of kissing nevus- a rare entity

Authors

  • R Sitaula Kharel Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • S Bhatta Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • G B Shrestha Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • J K Shrestha Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu

DOI:

https://doi.org/10.3126/nepjoph.v4i2.6555

Keywords:

lymph node, kissing nevus, malignant melanoma, metastasis

Abstract

Background: Kissing nevus is a congenital nevus in adjacent parts of the eyelids. Malignant transformation of kissing or divided nevi of the eyelids is rarely described.

Objective: To report a very rare case of malignant transformation of kissing nevus with ocular and extraocular spread.

Case: A 57- year- old man with 6/6 visual acuity in both eyes presented with a kissing nevus present since birth in right upper and lower eyelids which had a slow growth phase. The upper lid in the area of the nevus was thickened with a 20x12x15 mm black pigmented crusted hemorrhagic nodular lesions. The lower lid had a 6 mm black pigmented ulcerated lesion over the pre-existing nevus in the lateral third of the lid with full thickness infiltration. Another 5x4 mm pigmented lesion over the lower medial lid margin with a thickness of about 3 mm extended to the conjunctival side of the lower lid. Right sided pre-auricular and submaxillary nodes were palpable. A biopsy of tissue samples from the eyelid and pre-auricular nodes were consistent with malignant melanoma.

Conclusion: Malignant transformation of kissing nevus is rare. It can spread to the conjunctiva, pre-auricular and sub-mandibular lymphnodes.

DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6555

Nepal J Ophthalmol 2012; 4 (2): 329-332

 

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Published

2012-07-26

How to Cite

Kharel, R. S., Bhatta, S., Shrestha, G. B., & Shrestha, J. K. (2012). Malignant transformation of kissing nevus- a rare entity. Nepalese Journal of Ophthalmology, 4(2), 329–332. https://doi.org/10.3126/nepjoph.v4i2.6555

Issue

Section

Case Reports