2014
DOI: 10.4103/0976-237x.132352
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Malignant melanoma of the oral cavity: Report of two cases

Abstract: Primary malignant melanoma is a rare and aggressive neoplasm that originates from the proliferation of melanocytes. Although, it comprises 1.3% of all cancers, malignant melanoma of the oral cavity accounts for only 0.2-8% of all reported melanomas and occurs approximately 4 times more frequently in the oral mucosa of the upper jaw, usually on the palate or alveolar gingivae. Most of the mucosal melanomas are usually asymptomatic in early stages, and presents as pigmented patch or a mass delaying the diagnosis… Show more

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Cited by 11 publications
(4 citation statements)
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“…Additionally, abnormal melanocytes high mitotic rate and vascular or brain invasion are other variables linked to a bad prognosis. In our case, the patient was in stage I at the time of the diagnosis, according to Munde et al [ 17 ] and Sahana Ashok et al [ 18 ]. Patients with low socioeconomic backgrounds usually have poor prognoses due to limited financial resources, especially in India which was seen in our case.…”
Section: Discussionmentioning
confidence: 88%
“…Additionally, abnormal melanocytes high mitotic rate and vascular or brain invasion are other variables linked to a bad prognosis. In our case, the patient was in stage I at the time of the diagnosis, according to Munde et al [ 17 ] and Sahana Ashok et al [ 18 ]. Patients with low socioeconomic backgrounds usually have poor prognoses due to limited financial resources, especially in India which was seen in our case.…”
Section: Discussionmentioning
confidence: 88%
“…Even tumor node metastasis (TNM) staging for cutaneous melanomas needs to applied with caution while treating oral melanomas. [ 14 ] According to the American Joint Committee on Cancer (AJCC) TNM classification for mucosal melanoma of the head and neck,[ 15 ] both the above cases were T3, N0, M0, making them be in Stage III of the disease. It is to be noted that the AJCC staging for mucosal melanomas of the head and neck begins at Stage III owing to the extensive tumor during the initial presentation.…”
Section: Discussionmentioning
confidence: 99%
“…However, these cells are also present in many sun-shielded sites, such as the oral cavity, where their function is not clearly understood, but there is evidence supporting an antimicrobial and immunological activity [ 8 , 9 ]. Proliferation of atypical melanocytes at the interface between the epithelium and connective tissue is presumed to be the origin of MM; moreover, exposure to inhaled carcinogens such as tobacco could provoke the malignant transformation of those atypical melanocytes [ 1 , 10 , 11 ]. In fact, while some molecular alterations in genes such as c-KIT , BRAF , and NRAS have been found, their presence is extremely variable; nevertheless, cigarette smoking has been considered a risk factor because it usually promotes pigmented oral lesions and their potential transformation into malignant ones [ 11 ].…”
Section: Introductionmentioning
confidence: 99%