What are the treatments for primary acquired melanosis?

Question

Hello doctor,

I have had primary acquired melanosis (mildly atypical) three times in the past ten years. The last time I had cryotherapy, I also received mitomycin. Despite this, about eight months ago I observed it resurfaced in the same location. I have moved since my last treatment, and the new ophthalmologist suggested that because it is minor, we should wait for 12 months. My first ophthalmologist insisted that I have the lesions removed as soon as they occurred. What is the current best practice for treating recurrent primary acquired melanosis with mild atypia?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

PAM is a premalignant condition rather than a true malignant illness. Primary-acquired melanosis has a significant chance of developing into melanoma. However, you may take a wait-and-see strategy. Atypical vasculature, lack of cystic gaps, and abrupt growth are typically indicative of malignant transformation, although you do not have these.

High-resolution optical coherence tomography scans are now accessible, providing results comparable to histopathology reports. Follow up diligently, rather than photographing the lesion. If the above-mentioned rise or alterations occur, consider surgical removal.

Take care

Thank you