Palatal Malignant Melanoma: Presenting as a Diagnostic Dilema

Nisheeth Saawarn, Sana Noor Siddiqui, Preeti P Nair, Christopher Vinay Shinde


Malignant melanoma is a highly aggressive lesion with the tendency to metastasize and invade the surrounding tissues more readily than other oral malignancies. Oral melanoma is initially asymptomatic, developing as a slowly growing mass and may be present for months or years before being noticed. The color varies from bluish black to tan-brown. In this case report we present a case of a 45-year-old male patient who presented with a large asymptomatic grayish patch of 20 days’ duration on the anterior palate. He had discontinued smoking beedi one year back. Though it did not seem to be rapidly increasing in size, the lesion was histopathologically examined and the report was suggestive of malignant melanoma. This paper is being presented to reemphasize the fact that any pigmented lesion in the oral cavity should be viewed with suspicion and properly investigated.


Malignant melanoma;Gingiva;Palate;Melanocytes;Pigmentation

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