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Conjunctival melanocytic lesions consist of a variety of neoplastic and nonneoplastic conditions. These include benign processes such as primary intraepithelial hypermelanosis and melanocytic hyperplasia, secondary forms of intraepithelial hypermelanosis and melanocytic hyperplasia, melanocytic nevi, melanocytic proliferations with malignant potential, and melanoma.
onjunctival melanocytic lesions are typically various shades of brown, but can appear amelanotic or pink. They can be flat- typically a nevus or PAM- or nodular which is more worrisome for a melanoma.