Melanoma of the Maxillary Anterior Gingiva
Intraoral melanomas are extremely rare and exhibit a poor prognosis. These lesions have the tendency to metastasize, even more so than melanomas of the skin. Most cases (> 80%) occur on keratinized tissue of the maxilla, palate and gingiva. The clinical presentation can be diverse, demonstrating multiple shapes, sizes, and coloration patterns. Early on, smaller melanomas are usually asymptomatic, but can become painful if they expand. Clinicians should be suspicious of changing pigmentations, even though a significant percentage of oral mucosal melanomas are amelanotic. This case report is of an oral melanoma, primary site being the anterior maxilla. The patient did not seek care until the lesion was grossly enlarged and became symptomatic. The primary treatment remains wide surgical excision. Early detection and diagnosis of this malignancy is vital in order to improve the prognosis of these patients.
Keywords: Amelanotic; Gingiva; Melanoma; Melanocytes; Metastasis; Oral; Pigmentations.
The presence of junction activity.
1.Dr.Mark Eugene Peacock, Associate Professor, Department of Periodontics, 2.Dr.Ilanit Stern, Clinical Instructor, Oral Health and Diagnostic Sciences, 3.Dr.Cynthia S Ditslear, Dental Director, Department of Corrections, 4.Dr.Mark R Stevens, Professor and Chairman, Oral and Maxillofacial Surgery, 5.Dr.Rafik A Abdelsayed, Professor, Oral and Maxillofacial Pathology, Georgia Regents University, College of Dental Medicine, Augusta, GA.
Dr. Mark E Peacock, DMD, MS,
GRU College of Dental Medicine,
Augusta, GA 30912.
Ph: (706) 721-4398
Ph: (706) 723-0215
Ph: (706) 951-1156
Source of Support: Nil, Conflict of Interest: None Declared.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.
|Published by Celesta Software Pvt Ltd|