| Autor: |
Santos Carneiro, Neemias, Minicucci, Eliana Maria, Cardoso Pereira, Ana Beatriz, de Medeiros Moreira, Maressa Maria, Pinotti Ferreira Junior, José Paulo, Urel, Árthur, Serpa Steck, Samuel |
| Předmět: |
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| Zdroj: |
International Archives of Otorhinolaryngology; 2022 Supplement, Vol. 26, p56-56, 1/4p |
| Abstrakt: |
Introduction: Primary oral melanoma is an extremely rare malignant neoplasm of unknown etiology. It has the elevated tendency to invade in depth and the early haematogenous metastasis with a poor prognosis. Objective: The objective of this paper is to report the case of oral melanoma localized in alveolar gingiva with dissemination of hard palate and buccal mucosa and another in lower lip and to emphasize the importance of the intra-oral clinical examination. Resume Report: A 70-year-old female was referred to the Department of Dermatology with a history of blackened lesions in the right upper alveolar gingiva and hard palate, painful and with slight bleeding, also reported weight loss of approximately 20 kg in 1 year, toothless using total prosthesis 30 years ago. The clinical diagnostic was established as oral melanoma. Incisional biopsy of alveolar gingiva was carried out under local anesthesia. Histopathological examination revealed extensive superficial mucosal melanoma, Breslow 1.5. Due to the advanced stage in the diagnosis of OM, the patient was submitted to immunotherapy and radiotherapy, but without response and with the progression of the disease and is currently undergoing palliative care. Conclusion: OM has a direct relationship with the stage at the time of diagnosis, especially when the diagnosis is late. Therefore, we emphasize the importance of the intra-oral clinical examination, and the knowledge and special attention for pigmented lesions of the oral mucosa, the importance of diagnosing pathological anatomy so that we can achieve an early diagnosis and improve the quality of life of these patients. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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