Prospect of cytologic diagnosis for malignant melanoma in the maxillary sinus.

Two cases of malignant melanoma arising in the maxillary sinus are reported. Cytological examination of the solution obtained by local washing through the sinus puncture identified numerous melanoma cells together with melanophages. The cases were then scheduled for well-planned, preoperative treatment. The cytological criteria for diagnosing malignant melanoma are outlined, and the cytological approach is stressed as a valuable diagnostic procedure for early detection of malignant tumors and surveillance of postoperative recurrence, especially in paranasal sinuses.