Conjunctival tumors in children are nearly always benign. and are found in white children more than in African American or Asian children. ¹ Hamartomas of the conjunctiva are not neoplastic, but they form tumors, e.g.  epibulbar, epibulbar osseus and phakomatous choristomas. These lesions represent normal tissue(s) in an abnormal location. They can be a solitary lesion or can be associated with Goldenhar’s syndrome. ²
Junctional, subepithelial (stromal), or compound types, are benign localized clonal proliferations of melanocytic nevus cells. So far, a single genetic investigation by immunohistochemistry techniques reported mutually exclusive mutations in BRAF and NRAS, as seen similar in skin nevi. ³ Evolution of conjunctival nevus into malignant melanoma is extremely low (<1%).
Inflamed juvenile conjunctival naevus (IJCN) is a distinctive compound naevus, occurring in patients aged < 18 year exhibiting more NRAS p.Q61R mutations than BRAF p.V600E mutations (by immunohistochemistry). ³ A single case with BRAF p.V600E mutation was identified. ⁴