PRIMARY MELANOMA OF THE PALATE – A CASE REPORT

Abstract

Introduction: Melanoma of the oral mucosa is a rare and aggressive neoplasm, representing 0.2 to 8% of all melanomas and 0.5% of all cancers of the oral cavity.

Case report: We describe the case of a female patient of 84 years of age, referred to the outpatient dermatology by hyperpigmented macula, black, irregular borders, with about 3 x 4 cm of diameter, on which watched three nodular elements, implemented in the transition of the hard palate and soft palate and development unknown. Histopathology was compatible with melanoma. Staging imaging revealed no metastasis or loco-regional distance.

Due to the local extend, age and general condition of the patient, the option to perform non ablative therapy with cryo- therapy was taken, leading to complete clinical regression after two cycles of treatment carried out 6 weeks apart. The patient is disease-free after 36 months of follow-up.

Discussion: Although not having been subjected to standard therapy, the treatment modality performed (cryotherapy) was effective in controlling local disease.

KEYWORDS – Melanoma; Palatal Neoplasms; Cryotherapy.