Oral Mucosa Malignant Melanoma: Clinical Features, Diagnosis, Treatment, and a Case Report
Journal Title: Journal of Dental Problems and Solutions - Year 2015, Vol 2, Issue 2
Abstract
Primary oral mucosa malignant melanoma is a rare and biologically aggressive neoplasm. It is estimated about 1~2% of all oral malignancies with the incidence increasing with age. The prognosis of oral mucosa malignant melanoma is poor with the five-year survival rate is approximately 15%. The diagnosis of oral melanoma is usually delayed because it is always asymptomatic at the beginning and it resembles the epulis, amalgam tattoo or other oral lesions. In addition, nearly a third of all oral melanoma are amelanotic and may lack a radial growth phase, which makes early and accurate diagnosis even difficult. Thus, regional and distant metastases happen more frequently. Surgery is the first choice of treatment, and clinically negative necklymph nodes with neck dissection or radiotherapy are also recommended because of the high risk of subclinical regional metastasis. In this article, we reviewed the clinical features, diagnosis, treatment, and presented a 70 y/o male who suffered from an easily bleeding lesion over right posterior palatal mucosa and gingiva who presented at hospital for help. We performed biopsy which revealed a malignant melanoma. He received supraomohyoid neck lymph node dissection, partial maxillectomy, and was reconstructed with anterior lateral thigh free fascia cutaneous flap. After surgical treatment, the patient kept regular follow-ups. The treatment outcome was good and the patient recovered with full swallowing and phonation function.
Authors and Affiliations
Tze- Ta Huang, Kai-Yuan Hsiao, Chiang-Shin Liu, Tung-Yiu Wong, Jehn-Shyun Huang, Ken-Chung Chen
Keywords
Related Articles
- EP ID EP206200
- DOI 10.17352/2394-8418.000011
- Views 111
- Downloads 0
The use of a customized mounting guide for Implant-Prosthetic Restoration of the Fully Edentulous Arch
Reconstruction of fully edentulous arches with implant-retained dentures requires thorough planning and precise registration of the interocclusal relationship, to achieve a successful treatment outcome. This technical re...
Successful Rehabilitation of Anterior Crowns with Richmond Crown: Case Series
Restoration of severely fractured/ decayed teeth requires crown restoration after endodontic therapy which is often major requisite in conservative dentistry. If there is steep incisal guidance and very less overjet then...
Peripheral Ossifying Fibroma in Infant: A Case Report
Peripheral ossifying fibroma is a relatively common gingival growth of reactive rather than neoplastic in nature. Clinically differentiating one from the other as a specific lesion is often difficult and requires histopa...
Effective Communication and Empathy Skills in Dentistry for Better Dentist-Patient Relationships
Dentistry being a part of health care profession bears the responsibility of creating and nurturing good dentist-patient relationships. The doctor-patient relationships are essential component of any health care professi...
Replacement of A Hopeless Mandibular Tooth With an Immediately Placed and Loaded Dental Implant : A Case Report
Immediate implants have gained a wide popularity in the recent times as patients benefit from reduced time interval between the implant placement and delivery of the final restoration.Careful treatment planning and execu...