Aloua Rachid, Kaouani Amine, Kerdoud Ouassime, Salissou Iro, Slimani Faiçal
Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P 5696, Casablanca, Morocco.
Ann Med Surg (Lond). 2021 Jan 18;62:182-185. doi: 10.1016/j.amsu.2021.01.026. eCollection 2021 Feb.
Melanoma of the mouth is a rare entity of cancer. It has a bad prognosis. We report two cases of mouth melanoma. In the first case, 68 years old man developed a mandibular gingival tumor. Head and neck MRI scans showed an aggressive tumor process in the mouth with bone extension and in the deep spaces. The patient was free of cervical lymph nodes. The second case is a 75-years-old male with heavy tobacco smoke. The man felt a burgeoning mass on the right palate. The neck palpation found a firm mobile non-tender mass at the left upper jugular region. The anatomopathological study of the biopsies assigned both cases to malignant melanoma. Because of the rarity and delays in diagnosis, case reports are an invaluable source of information.
口腔黑色素瘤是一种罕见的癌症类型。其预后较差。我们报告两例口腔黑色素瘤病例。第一例，一名68岁男性，下颌牙龈出现肿瘤。头颈部MRI扫描显示口腔内有侵袭性肿瘤病变，并累及骨质及深部间隙。该患者无颈部淋巴结转移。第二例是一名75岁男性，有重度吸烟史。该男子感觉右侧上腭有一肿物。颈部触诊发现左颈上部区域有一个质地硬、可活动、无压痛的肿物。活检的解剖病理学研究将两例病例均诊断为恶性黑色素瘤。由于其罕见性及诊断延迟，病例报告是非常宝贵的信息来源。
