The case of malignant melanoma of the external ear with hidden location
Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 6
Abstract
Melanoma is one of the most malignant neoplasm. Mostly it is located in skin but also can appear in every place where melanocytes are present. Approximately 25% of all of these tumours is located in head and neck region probably because of intensive sun exposure of the skin. The case of the 44-year-old, male patient with malignant melanoma of the external ear was shown in this paper. The patient was asymptomatic and diagnosed accidentally. The suspicion of metastatic lymph nodes of neck was based on CT and ultrasonography examination. The patient was treated by surgical excision (total resection of the right auricle) with one centimeters of free margins. Additionally elective neck's lymph nodes dissection was performed. The histopathological evaluation has shown radical excision of stage II (Clark's scale) malignant melanoma of the ear with negative margins and without metastatic lymph nodes of the neck. The patient was not qualified to radiotherapy by oncologist. No evidence of local recurrences or distant metastasis was detected during a 3 years follow-up period. The epidemiology, clinical and pathological classification of the tumour, diagnostic problems and therapy were described. The prognosis of melanoma depends mostly on the thickness of the tumour but also on level of invasion and presence of ulceration.
Authors and Affiliations
acek Kozakiewicz, Agata Gierlotka, Anna Barzyk-Arciszewska
Keywords
Related Articles
- EP ID EP52125
- DOI -
- Views 130
- Downloads 0
Trudności diagnostyczne w przebiegu mięsaka polimorficznego krtani
Malignant fibrous histiocytomas (MFH) of the upper respiratory tract are rare, aggressive mesenchymal neoplasms. Ultrastructurally MFH consisted of five different types of cells. It occurs principally as a mass of the ex...
Necrotizing sialometaplasia: A rare lesion that mimics oral cancer clinically and histopathologically
With screening for oral cancer being increasingly performed by physicians, ulceroproliferative lesions of the oral cavity that resemble carcinoma may present a diagnostic challenge. We present one such case wherein the l...
Laryngectomy as a salvage procedure of the patients with massive postradiation injury of the larynx
Introduction. Author discusses problems and treatment principles of patients with massive postradiation injury, who had laryngectomy procedure as a result of insufficience of the farmacological treatment. Material and me...
Współczesne spojrzenie na postępowanie z polipami nosa u pacjentów z triadą Samtera
The application of the manual physiotherapy treatment for patient with after trauma dysphonia
SUMMARY As a result of laryngeal injures an abnormal phonation is frequently observed. It is the consequence of structural and functional changes of the laryngeal tissues directly and indirectly responsible for the voice...