Mucosal malignant melanoma of nasal cavity presenting in a young male
Keywords:Mucosa, Melanoma, Nose
Introduction: Mucosal malignant melanoma (MMM) in nose is a rare tumour with an incidence of only 0.67% of all malignant melanomas. It presents more commonly in older age from 5th to 8th decades. Curiously though, in our case, the melanoma presented in a young male with symptoms like a polyp.
Case presentation: A 36-year-old male East Indian farmer presented with occasional bleeding from left nasal cavity with nasal obstruction for the last one year with a painless greyish fleshy mass in the left nasal cavity from the past two months. It was initially misdiagnosed as antrochoanal polyp. Endoscopic excision biopsy revealed malignant melanoma. A radical repeat surgical approach was undertaken followed by radiotherapy. Patient is symptom free 6 months following radiotherapy.
Conclusion: A high degree of suspicion is necessary to diagnose a malignant melanoma in nasal cavity. It needs a radical curative approach if there is no distant metastasis.
Key Words: Mucosa; Melanoma; Nose.
Bangladesh J Otorhinolaryngol 2011; 17(1): 68-71
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