(BMJ)—A 46-yo Caucasian woman noticed a lesion in the white of her L eye increasing in size over a 6-yr period. Exam: wedge-shaped pigmented lesion, w/ dome-like thickening of the conjunctiva. No other lesions on full eye exam, w/ lid eversion. Retina WNL. What is the dx?
Primary acquired melanosis
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Malignant melanoma
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Benign conjunctival nevus
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Conjunctival complexion-associated melanosis
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Conjunctival foreign body
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