Treatment of conjunctival tumours

Abstract

SummaryThe treatment of benign and premalignant conjunctival tumors can be done by excisional biopsy and/or chemotherapy.However, the treatment of malignant conjunctival tumors by only surgical excision has a high local recurrence and mortality rate. Progressively, additional treatments to the surgery have been suggested. Notably, different radiotherapy technics have improved the prognosis.The main therapeutic basis are: In case of premalignant tumors, depending on the histologic diagnosis and surgical margin you could have to use an additional chemotherapy. If the diagnosis of malignant tumor is confirmed additional radiotherapy treatment must be used depending on the localization of the tumors and your habits: Conventional radiotherapy, brachytherapy or proton beam therapy with specific improvements in order to tailor the treatment to conjunctival tumors. When a conjunctival melanoma is suspected, the surgery must be performed under general anesthesia. The excision must be carefully done to avoid spreading of tumor cells with the instruments during the excisional biopsy.