Schlabe J, Shah K A, Sheerin F, Payne M J, Fasanmade A A
Department of Head and Neck Surgery, Guy's and St Thomas' NHS Trust, London, UK; Department for Oral and Maxillofacial Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Department of Cellular Pathology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Int J Oral Maxillofac Surg. 2018 Dec;47(12):1519-1522. doi: 10.1016/j.ijom.2018.06.007. Epub 2018 Jun 30.
Regression of metastatic melanoma is very rare and occurs in only 0.23% of cases. Metastasis to the oral cavity is particularly uncommon and accounts for only 1-3% of all oral malignancies. This report presents a case of spontaneous and complete regression of a metastatic melanoma in the mandibular ramus. The patient remains asymptomatic more than 2 years after diagnosis. The patient was followed up regularly. It is recommended that further surveillance imaging be performed in asymptomatic patients following discussion with the surgical and oncological teams. This type of surveillance, together with new systemic treatments, is advocated due to its potential to increase long-term survival even after relapse.
转移性黑色素瘤的消退非常罕见,仅发生于0.23%的病例中。口腔转移尤其少见,仅占所有口腔恶性肿瘤的1%-3%。本报告介绍了一例下颌支转移性黑色素瘤自发完全消退的病例。患者在诊断后2年多一直无症状。对该患者进行了定期随访。建议在与外科和肿瘤学团队讨论后,对无症状患者进行进一步的监测成像。由于这种监测方式即使在复发后仍有提高长期生存率的潜力,因此提倡这种监测方式以及新的全身治疗方法。