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This can result from: Another conjunctival lesion such as eye cancer (carcinoma) A benign growth such as squamous papilloma A disease affecting the entire body such as Addison disease Prior radiation Pregnancy Other causes of conjunctival pigmentation Other types of pigmentation can also occur on the conjunctiva, including racial melanosis and nevus, both of which are typically benign (not harmful)

And obviously there's outliers and some women are bigger and more muscular