合併頸部轉移的前硬腭惡性黑色素瘤－病例報告

Malignant Melanoma of Anterior Part of Hard Palate with Neck Metastasis - Case Report

廖庭毅(Ting-Yih Liaw) ； 李梓堯(Chih-Yau Lee) ； 蘇志英(Chih-Ying Su)

《中華民國耳鼻喉科醫學會雜誌》 31卷6期 (1996/12) Pp. 515-519

https://doi.org/10.6286/1996.31.6.515

摘要

口腔黏膜的惡性黑色素瘤頗為少見，由於不易早期診斷，病程又極惡性，所以預後甚差。而口腔黏膜黑素瘤出頭部轉移更是少見。本科經歷一名55歲女性患者，主訴左側頸部腫塊約5個月，門診初步理學檢查及電腦斷層檢查疑為左下頷線腫瘤。頸部腫塊手術後病理切片報告為轉移性惡性黑色素瘤，經仔細檢查才發現原發病灶位於左側硬腭前部及牙齦內側，病人再度接廣泛性切除併頸部淋巴廓清術，以及術輔性放射線治療。問診追蹤迄今未發現有復發。

關鍵字

惡性黑色素瘤 ； 口腔黏膜

並列摘要

Maignant melanoma of oral mucosa is a rare and disastrous disease, and it is much rarer to have neck metastasis. At present radical surgery is the mainstay of treatment.
We experienced a case of 55-year-old female with the manifestation of left submandibular mass for about 5 months. There was no abnormal finding except for a suspected submadibular tumor in the initial physical examination and computed tomography of the head and neck. Excision of the mass was done, and the pathologi-cal report revealed metastatic malignant melanoma. Thereafter, Pimay lesion was found at both lateral portion of the left side of the hard palate and upper gum after careful examination. The patient then underwent composite resection of half of the left hard palate and alveolar ride with modified radical neck dissection. Post-operatively, adjuvant radiotherapy was given and no recurrence has bee noted over an 8-month follow-up.

並列關鍵字

malignant melanoma ； oral mucosa