2008
DOI: 10.1177/147323000803600633
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Primary Amelanotic Malignant Melanoma of the Parotid Gland: A Case Report

Abstract: Amelanotic malignant melanoma in the oral region is extremely rare and has not previously been reported in the parotid gland. This present case report describes an amelanotic malignant melanoma in the parotid gland, with no other primary lesion detectable. The medical history, pathology and immunohistochemical analysis of the case are described and the relevant literature is reviewed in order to help in the recognition of this uncommon tumour. Amelanotic malignant melanoma is a melanoma subtype with little or … Show more

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Cited by 18 publications
(31 citation statements)
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“…Hematological and lymphatic metastases occur most commonly in the early stages of the pathogenesis of PMME, which leads to a very poor prognosis for the patient. The usual clinical course is for widespread metastases to occur followed by a rapid deterioration in the general state of health of the patient and a premature death; 10 our data revealed similar results. The most common site of metastasis reported previously was the liver, followed by the mediastinum, mediastinal lymph nodes, lung, and brain 2 .…”
Section: Discussionsupporting
confidence: 85%
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“…Hematological and lymphatic metastases occur most commonly in the early stages of the pathogenesis of PMME, which leads to a very poor prognosis for the patient. The usual clinical course is for widespread metastases to occur followed by a rapid deterioration in the general state of health of the patient and a premature death; 10 our data revealed similar results. The most common site of metastasis reported previously was the liver, followed by the mediastinum, mediastinal lymph nodes, lung, and brain 2 .…”
Section: Discussionsupporting
confidence: 85%
“…According to the generally accepted diagnostic criteria of primary melanoma that was proposed by Allen and Spitz, 8 malignant melanomas are considered to be primary in origin when the mass has a characteristic structure of melanoma that contains melanin, the adjacent epithelium contains melanocytes, the tumor is polypoid, and the tumor arises from the area of junctional changes in the squamous epithelium 8 . Recently, immunohistochemical staining, which utilizes antibodies that are specific to HMB‐45 and/or S‐100 cytoplasmic protein, has been used to identify malignant melanoma within the esophagus 9,10 …”
Section: Discussionmentioning
confidence: 99%
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“…The presence of rare melanocytes in the parotid gland is typically explained by its development from invaginating oral epithelium, which is known to contain melanoblasts (Greene and Bernier 1961;Takeda 1997). One requirement for the Table 2 Characteristics of cases of parotid melanoma of unknown primary from a comprehensive literature search Bahar et al (1990), Balm et al (1994), Barbieri et al (2002), Bussi et al (1999), Gao et al (2008), Greene and Bernier (1961), Jennings et al (1996), Jorgensen (1953, Karpowicz et al (2011), Laudadio et al (1984, Lussier et al (2000), Mesa et al (2009), Nichols et al (1980, Pain et al (1986), Prayson and Sebek (2000), Renaut (1996), Schroeder and Stahr (1998), Tsutsumida et al (2008), Wang et al (1999), Woodwards et al (1993) ND neck dissection, RT radiation therapy (2) Dead (3) diagnosis of a primary parotid melanoma states that the bulk of the tumor should be located in the parotid parenchyma and contains no identifiable LN tissue (Woodwards et al 1993). In our study, roughly half of all PMUP were histologically documented in the parotid parenchyma, suggesting that some cases may have represented primary parotid melanomas.…”
Section: Discussionmentioning
confidence: 99%
“…To our knowledge, there is only one previous case report of AMM primary to the parotid gland. The patient in question underwent treatment involving total parotidectomy; however, the patient died five months after surgery due to extensive metastases (10).…”
Section: Discussionmentioning
confidence: 99%