Primary head and neck malignant melanomas in the data of ENT Department of Silesian Medical University: histo-clinical analysis
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY Introduction: In 2008 in Poland, there were over 2,200 cases of malignant melanomas. This tumor is characterized by considerable malice. Malignant melanoma of the head and neck region is a vast concept. Therefore it includes cutaneous, ocular, mucous membranes and metastatic melanomas. Methods: A retrospective analysis of patients admitted to ENT Department of Silesian Medical University in Katowice with diagnosis of head and neck malignant melanoma. Results: Between 1983 and 2009 10 cases of melanoma of head and neck were registered in our Department. Six patients presented ocular melanoma. They manifested disturbed vision and exophtalmus. All of them underwent orbital exenteration of affected eye. One case of melanoma arising from palatine tonsil was registered. Main symptom was tumor of the neck. One patient suffered from melanoma of nasal cavity, which manifested as rec-curent epistaxis. Metastatic melanoma was found in 2 cases. One of them involved parotid gland tumor, another- supraclavicular nodes. Every patient underwent excision of tumor. Patient with supraclavicular nodes involve-ment — Crile operation. Discussion: The most important diagnostic procedure in every form of melanoma is histopathological examination which reaveles atypical melano-cytes. Radical excision of primary lesion has a great importance in long term prognosis. Radio-, chemo- and immunotherapy remain auxiliary treatment, often in advanced stage of disease.
Authors and Affiliations
Jarosław Markowski, Tatiana Gierek, Małgorzata Witkowska, Katarzyna Pasternak, Maciej Kajor, Ewa Mrukwa-Kominek, Tomasz Lebda-Wyborny
Keywords
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