Conjunctival melanoma is a rare type of malignancy of ocular surface tissue with a high recurrence rate, sight, and life-threatening malignancy. In this paper, we report a case of giant conjunctival melanoma in an 86-year-old woman, localized on her left eye. The pigmented tumor lesion was de novo occurred and treated by local wide excision and reconstruction of the presented defect by partial thickness skin from the inside parts of the forearm. The eye itself was not damaged, and the first-line lymph nodes showed no malignant activity. In the three years of follow-up, no signs of recurrence have been observed. The treatment approach with local excision and subsequent reconstruction with the partial thickness skin graft or excision with adjuvant therapy has given a good clinical outcome.

中文翻译：

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巨大结膜黑色素瘤通过切除和部分厚度皮肤移植进行初步重建治疗。

结膜黑色素瘤是一种罕见的眼表组织恶性肿瘤，复发率高，视力差，恶性程度高，可危及生命。在本文中，我们报告了一名 86 岁女性的左眼巨大结膜黑色素瘤病例。色素性肿瘤病变是从头发生的，通过局部广泛切除和前臂内侧部分厚皮肤重建所呈现的缺损来治疗。眼睛本身没有受损，一线淋巴结也没有出现恶性活动。随访三年，未见复发迹象。局部切除并随后进行部分厚皮移植重建或切除辅助治疗的治疗方法取得了良好的临床效果。