Reclassifying Ocular Pathology
What does it take to establish an accurate, understandable classification system for conjunctival epithelial pigmentations?
The accurate classification and interpretation of pathology has important prognostic implications. Though some pigmented blemishes of the conjunctiva are benign and do not require close follow-up or treatment, others progress to conjunctival melanoma, a malignant tumor with a high potential for recurrence on (up to 50 percent) and a distant metastasis and death (20-30 percent at five years). An ideal classification system needs to be highly accurate, easy for pathologists and ophthalmologists to use, and have excellent inter-observer reproducibility.
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