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舌侧牙龈恶性黑色素瘤伴同侧下颌下淋巴结转移:病例报告

Malignant melanoma of lingual gingiva with ipsilateral submandibular lymph node metastasis: a case report.

作者信息

Krishna Prasad L, Srinivasa Chakravarthi P, Naga Neelima Devi K, Sridhar M, Ram Kumar Y, Yesuratnam D

机构信息

Dept. of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Karnataka, India ; Dept. of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Takkellapadu, Guntur, 522509 Andhra Pradesh India.

出版信息

J Maxillofac Oral Surg. 2009 Sep;8(3):287-9. doi: 10.1007/s12663-009-0070-3. Epub 2009 Nov 21.

Abstract

Malignant melanoma is a neoplasm of epidermal melanocytes. It is one of the most biologically unpredictable and deadly of all human neoplasms. However, malignant melanoma in the oral cavity is a rare malignancy, accounting for 0.2% to 8% of all melanomas. It has a grave prognosis, with a 5 year survival of 10-20%. We present a case of malignant melanoma of lingual gingiva of left mandibular molars with ipsilateral submandibular lymph node metastasis. We performed peripheral osteotomy of primary lesion followed by modified radical neck dissection by sparing internal jugular vein and patient had received postoperative radiotherapy.

摘要

恶性黑色素瘤是一种表皮黑素细胞的肿瘤。它是所有人类肿瘤中生物学行为最不可预测且最致命的肿瘤之一。然而,口腔恶性黑色素瘤是一种罕见的恶性肿瘤,占所有黑色素瘤的0.2%至8%。其预后严重,5年生存率为10% - 20%。我们报告一例左下颌磨牙舌侧牙龈恶性黑色素瘤伴同侧颌下淋巴结转移的病例。我们对原发灶进行了外周截骨术,随后行保留颈内静脉的改良根治性颈清扫术,患者术后接受了放疗。

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