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Oral malignant melanoma: An aggressive clinical entity - Report of a rare case with review of literature

Identifieur interne : 000639 ( Main/Exploration ); précédent : 000638; suivant : 000640

Oral malignant melanoma: An aggressive clinical entity - Report of a rare case with review of literature

Auteurs : Shamimul Hasan [Inde] ; Sami Faisal Jamdar [Inde] ; Jogender Jangra [Inde] ; Sadun Mohammad Al Ageel Al Beaiji [Arabie saoudite]

Source :

RBID : PMC:4820579

Abstract

Melanomais one of the most dreaded and aggressive neoplasms, being derived from epidermal melanocytes. The majority of melanomas are seen to involve the skin, and primary mucosal melanomas account for less than 1% of all melanomas. Oral malignant melanomas (OMM) are asymptomatic at the initial presentation, but later they become painful with growth and expansion. In the late stages, the patient may present with ulceration, bleeding, tooth mobility, paresthesia, ill-fitting prosthesis, and delayed healing of the extraction sockets. Diagnosis is often delayed due to asymptomatic clinical presentation, with silent progression of the lesion. OMM are associated with poor prognosis due to their invasive and metastasizing tendencies. The condition has poor survival rates, and metastatic melanomas show even worse prognosis. The 5-year survival rate for OMM ranges 4.5–29%, with 18.5 months being the mean survival rate. The tumor is best managed by wide surgical resection; however, consideration should also be made for adjunctive therapies such as chemotherapy, immunotherapy, and radiotherapy. Recurrences may be seen even 10–15 years after the primary therapy. This paper aims to present an interesting report of aggressive OMM in a 50-year-old male patient and emphasizes the role of dental professionals in maintaining a high degree of vigilance for the pigmented lesions of the oral cavity. Pigmented lesions of uncertain origin should be routinely biopsied to rule out malignancy. Early diagnosis of this dreadful entity entails thorough history taking, physical examination, and radiographic features coupled with histopathology.


Url:
DOI: 10.4103/2231-0762.175145
PubMed: 27114959
PubMed Central: 4820579


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<p>Melanomais one of the most dreaded and aggressive neoplasms, being derived from epidermal melanocytes. The majority of melanomas are seen to involve the skin, and primary mucosal melanomas account for less than 1% of all melanomas. Oral malignant melanomas (OMM) are asymptomatic at the initial presentation, but later they become painful with growth and expansion. In the late stages, the patient may present with ulceration, bleeding, tooth mobility, paresthesia, ill-fitting prosthesis, and delayed healing of the extraction sockets. Diagnosis is often delayed due to asymptomatic clinical presentation, with silent progression of the lesion. OMM are associated with poor prognosis due to their invasive and metastasizing tendencies. The condition has poor survival rates, and metastatic melanomas show even worse prognosis. The 5-year survival rate for OMM ranges 4.5–29%, with 18.5 months being the mean survival rate. The tumor is best managed by wide surgical resection; however, consideration should also be made for adjunctive therapies such as chemotherapy, immunotherapy, and radiotherapy. Recurrences may be seen even 10–15 years after the primary therapy. This paper aims to present an interesting report of aggressive OMM in a 50-year-old male patient and emphasizes the role of dental professionals in maintaining a high degree of vigilance for the pigmented lesions of the oral cavity. Pigmented lesions of uncertain origin should be routinely biopsied to rule out malignancy. Early diagnosis of this dreadful entity entails thorough history taking, physical examination, and radiographic features coupled with histopathology.</p>
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<noRegion>
<name sortKey="Hasan, Shamimul" sort="Hasan, Shamimul" uniqKey="Hasan S" first="Shamimul" last="Hasan">Shamimul Hasan</name>
</noRegion>
<name sortKey="Jamdar, Sami Faisal" sort="Jamdar, Sami Faisal" uniqKey="Jamdar S" first="Sami Faisal" last="Jamdar">Sami Faisal Jamdar</name>
<name sortKey="Jangra, Jogender" sort="Jangra, Jogender" uniqKey="Jangra J" first="Jogender" last="Jangra">Jogender Jangra</name>
</country>
<country name="Arabie saoudite">
<noRegion>
<name sortKey="Al Beaiji, Sadun Mohammad Al Ageel" sort="Al Beaiji, Sadun Mohammad Al Ageel" uniqKey="Al Beaiji S" first="Sadun Mohammad Al Ageel" last="Al Beaiji">Sadun Mohammad Al Ageel Al Beaiji</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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