비인강 점막성 악성흑색종 2예

Two Cases of Nasopharyngeal Mucosal Malignant Melanoma

  • 한지연 (가톨릭대학교 의과대학 내과학교실) ;
  • 김민식 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 장홍석 (가톨릭대학교 의과대학 치료방사선과학교실) ;
  • 김훈교 (가톨릭대학교 의과대학 내과학교실) ;
  • 홍영선 (가톨릭대학교 의과대학 내과학교실) ;
  • 이경식 (가톨릭대학교 의과대학 내과학교실) ;
  • 김동집 (가톨릭대학교 의과대학 내과학교실) ;
  • 박영학 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 조승호 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 서병도 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 윤세철 (가톨릭대학교 의과대학 치료방사선과학교실)
  • Han Ji-Youn (Department of Internal Medicine, ENT-Head, Catholic University Medical College) ;
  • Kim Min-Sik (Department of Internal Medicine, Neck Surgery, Catholic University Medical College) ;
  • Jang Hong-Seok (Department of Internal Medicine, Therapeutic Radiology, Catholic University Medical College) ;
  • Kim Hoon-Kyo (Department of Internal Medicine, ENT-Head, Catholic University Medical College) ;
  • Hong Young-Soon (Department of Internal Medicine, ENT-Head, Catholic University Medical College) ;
  • Lee Kyung-Shik (Department of Internal Medicine, ENT-Head, Catholic University Medical College) ;
  • Kim Dong-Jip (Department of Internal Medicine, ENT-Head, Catholic University Medical College) ;
  • Park Young-Hak (Department of Internal Medicine, Neck Surgery, Catholic University Medical College) ;
  • Cho Seung-Ho (Department of Internal Medicine, Neck Surgery, Catholic University Medical College) ;
  • Seo Byung-Do (Department of Internal Medicine, Neck Surgery, Catholic University Medical College) ;
  • Yoon Sei-Chul (Department of Internal Medicine, Therapeutic Radiology, Catholic University Medical College)
  • 발행 : 1995.06.01

초록

Melanoma of the mucous membrane is a rare condition and has the worse prognosis than that of any other sites. It is usually asymptomatic in early stage and difficult to find out the primary lesion by visual examination, and these facts lead to delay in diagnosis and reduce the curability. The major factor of failure in treatment of melanoma is local recurrence rather than regional spread. Because the radical procedure is difficult in head and neck lesion due to anatomical limitation, radiation therapy and chemotherapy can be used in the treatment of local recurrence. We experienced two cases of nasopharyngeal melanoma in advanced stage and treated them with radiation therapy and/or chemotherapy. And both patients showed relatively favorable response to these palliative treatments.

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