2020, Number 4
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Otorrinolaringología 2020; 65 (4)
Melanoma of the nasal mucosa
Romo-Magdaleno JA, Busto-Ruano JP, Reyes-Ortega LM
Language: Spanish
References: 27
Page: 191-198
PDF size: 275.91 Kb.
ABSTRACT
Background: Mucosal melanoma of the head and neck is an infrequent disease,
with a high mortality rate. Its poor prognosis can be explained by the complexity of the
anatomy on these areas, its silent growth and their high capability for metastasis. The
lack of knowledge, treatment protocols and series of clinical cases make the approach of
patients controversial and subject to diverse therapeutic approaches. Therefore, despite
previous research, it has not been possible to increase the survival rate for these patients.
Clinical case: An 89-year-old male patient with a one-year evolution nasal tumor
causing nasal obstruction, purulent rhinorrhea, hyposmia, epistaxis and epiphora. A
histopathological report of primary melanoma of the nasal mucosa was documented.
Due to its statistics and in conjunction with the department of radio-oncology and
medical oncology, surgical treatment was performed.
Conclusions: Nasal mucosal melanoma usually has a worse prognosis than those
emerging from the cutaneous sites and most patients develop recurrent and disseminated
disease.
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