Wollina U, Hansel G, Schönlebe J
1Department of Dermatology and Allergology; 2Institue of Pathology "Georg Schmorl", Städtisches Klinikum Dresden, Academic Teaching Hospital of the Technical University, Dresden, Germany.
Georgian Med News. 2018 May(278):68-71.
Cutaneous polypoid melanoma is an uncommon subtype of malignant melanoma. The clinical behavior of this subtype has been described as aggressive. Tumors can be sessile or pedunculated. The typical patient is a younger adult. Authors have analyzed the case histories of patients with polypoid melanomas of the head and neck region treated at our clinic from 2001 to 2018. We identified 3 female patients with tumors of the neck and cheek. In contrast to other reports, all patients were older than 80-years of age. None of them had a metastatic spread at the time of diagnosis. Treatment was delayed Mohs surgery. Polypoid melanomas of the head and neck region can occur in elderly patients without an aggressive course. In those patients a number of differential diagnoses have to be considered including Merkel cell carcinoma, metatypical basal cell carcinoma, squamous cell carcinoma and tumor metastases.
皮肤息肉状黑色素瘤是恶性黑色素瘤的一种罕见亚型。该亚型的临床行为被描述为侵袭性的。肿瘤可以是无蒂的或有蒂的。典型患者为较年轻的成年人。作者分析了2001年至2018年在我们诊所接受治疗的头颈部息肉状黑色素瘤患者的病历。我们确定了3例颈部和脸颊部肿瘤的女性患者。与其他报告不同的是，所有患者年龄均超过80岁。诊断时她们均无转移扩散。治疗采用延迟莫氏手术。头颈部区域的息肉状黑色素瘤可发生于老年患者，且病程不具侵袭性。对于这些患者，必须考虑多种鉴别诊断，包括默克尔细胞癌、化生型基底细胞癌、鳞状细胞癌和肿瘤转移。
