A Case of Malignant Melanoma of the Inferior Turbinate

하비갑개의 악성흑색종 치험 1례

  • Maeng Chang-Hwan (Department of Otorhinolaryngology, Korea Veterans Hospital) ;
  • Yun Dong-Gu (Department of Otorhinolaryngology, Korea Veterans Hospital) ;
  • Kim Choon-Dong (Department of Otorhinolaryngology, Korea Veterans Hospital) ;
  • Rho Young-Soo (Department of Otorhinolaryngology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • 맹창환 (서울보훈병원 이비인후과) ;
  • 윤동구 (서울보훈병원 이비인후과) ;
  • 김춘동 (서울보훈병원 이비인후과) ;
  • 노영수 (한림대학교 의과대학 이비인후과학교실 강동성심병원)
  • Published : 2002.05.01

Abstract

Malignant melanoma of the nasal cavity occurs rarely. Malignant melanoma, originated from the upper respiratory tract including nasal cavity, has clinical feature of local recurrence and easily metastasizes to regional or distant lymph nodes, lung, and liver. Malignant melanoma originated from nasal cavity frequently shows tumor cell invasion, ulceration, or infection. Owing to these characteristics, complete surgical excision of the malignant melanoma in nasal cavity is not easy. And also the prognosis of this tumor is not so good because of a high recurrence rate. Recently the authors have recently experienced a case of malignant melanoma originated from the inferior turbinate, which was treated with lateral rhinectomy, total maxillectomy. The defect developed after surgical extirpation was reconstructed with rotational forehead flap.

Keywords

References

  1. Nam JK, Kim SY, Kim YJ, Kim JH, Lee BJ : Mucosal malignant melanomas of the nasal cavity and paranasal sinuses : clinical characteristics and treatment outcomes. Korean J Otolaryngol. 1999 ; 42 : 462-466
  2. Franklin JD, Reynolds VH, Bowers DG : Cutaneous melanoma ofthe Head and Neck. Clin Plast Surg, 1976 : 413-427
  3. Holdcraft J, Gallagher JC : Malignant melanomas of nasal and paranasal sinus mucosa. Ann Otol Rhinolaryngol. 1969 ; 89 : 652-658
  4. Greelhoed GW, McCune WS : Malignant melanoma, Correlation of long term follow-up with clinical staging, level of invasion and thickness of primary tumor. Arch Jr Surg. 1977 ; 43 : 77-85
  5. Friduss M, Dagum P,Mandych A, Reppucci A : Forehead flap in nasal reconstruction. Otolaryngol Head Neck Surg. 1995 ; 113 : 740-747 https://doi.org/10.1016/S0194-5998(95)70014-5
  6. Choi JW, Chung SH, Lee CK, Ahn ST, Lim P : Nasal reconstruction with various flaps. Korean J Past Surg. 1995 : 19 ; 265-273
  7. Adamson JE : Nasal reconstruction with the expanded forehead flap. Plast Reconstr Surg. 1988 : 81 ; 12-20 https://doi.org/10.1097/00006534-198801000-00002
  8. Freedman HM, DeSanto LW, Devine KD, Weiland LH : Malignant melanoma ofthe nasal cavity and paranasal sinuses. Arch Otolaryngol. 1973 : 97 ; 322-325 https://doi.org/10.1001/archotol.1973.00780010332008
  9. Mesara BW, Burton WD : Primary malignant melanoma of the upper respiratory tract. Cancer. 1968 ; 21 : 217-225 https://doi.org/10.1002/1097-0142(196802)21:2<217::AID-CNCR2820210209>3.0.CO;2-Q
  10. Zak FG, Lawson W : The presence of melanocyte in the nasal cavity. Ann Otol Rhin. Laryngol. 1974 ; 83 :
  11. Ravid JM, Esteves JA : Malignant melanoma of the nose and PNS and Juvenile Melanoma of the nose,. Arch Otolaryngol. 1960 ;72 :431-438 https://doi.org/10.1001/archotol.1960.00740010441002
  12. Do HW, Park JS : Comparison study for mucosal malignant melanoma ofhead and neck according to primary sites. Korean J Otolaryngol. 1998 ; 41 (8) : 1054-1058
  13. Walker EA, Snow JB : Jr. Management of melanoma of the nose and paranasal sinuses. Arch Otolaryngol. 1969 ; 89 : 652-670
  14. Yamazaki N : Dacarbazine, nimustine hydrochloride, cisplatin and tamoxifen combination chemotherapy for advanced malignant melanoma. J Dermatol. 1999 ; 26 (8) : 489-493 https://doi.org/10.1111/j.1346-8138.1999.tb02033.x
  15. Seo W : Chemohormanal therapy for malignant melanomas of the nasal and paranasal mucosa. Rhinology. 1997 ; 35(1) :19-21