Abstract
Melanoma is a highly aggressive neoplasm in which the neoplastic cells display melanocytic differentiation. Less than 1 % of all melanomas arise in the mucosal surfaces of the oral cavity, with purely in situ lesions being exceedingly rare tumors, but with a favorable prognosis compared with invasive lesions. We describe the clinical, histopathological and immunohistochemical findings in an uncommon case of in situ mucosal melanoma of the oral cavity with intense tumor-associated pigment deposition and inflammation complicating the morphological assessment of infiltrative areas.
Similar content being viewed by others
References
Speight PM. Mucosal malignant melanoma. In: Barnes L, Eveson J, Reichart P, Sidransky D, editors. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 206–7.
Hicks MJ, Flaitz CM. Oral mucosal melanoma: epidemiology and pathobiology. Oral Oncol. 2000;36:152–69.
Smith MH, Bhattacharyya I, Cohen DM, Islam NM, Fitzpatrick SG, Montague LJ, Damm DD, Fowler CB. Melanoma of the oral cavity: an analysis of 46 new cases with emphasis on clinical and histopathologic characteristics. Head Neck Pathol. 2016. doi:10.1007/s12105-016-0693-x.
de Vries E, Bray F, Coebergh JW, Cerroni L, Ruiter DJ, Elder DE, et al. Melanocytic tumours. In: LeBoit PE, Burg G, Weedon D, Sarasin A, editors. Pathology & genetics—skin Tumours. Lyon: IARC Press; 2006. p. 49–120.
Prasad ML, Patel SG, Huvos AG, et al. Primary mucosal melanoma of the head and neck: a proposal for microstaging localized, stage I (lymph node-negative) tumors. Cancer. 2004;100:1657–64.
Song H, Wu Y, Ren G, Guo W, Wang L. Prognostic factors of oral mucosal melanoma: histopathological analysis in a retrospective cohort of 82 cases. Histopathology. 2015;67:548–56.
Prasad ML, Busam KJ, Patel SG, Hoshaw-Woodard S, Shah JP, Huvos AG. Clinicopathologic differences in malignant melanoma arising in oral squamous and sinonasal respiratory mucosa of the upper aerodigestive tract. Arch Pathol Lab Med. 2003;127(8):997–1002.
Zalaudek I, Horn M, Richtig E, Hodl S, Kerl H, Smolle J. Local recurrence in melanoma in situ: influence of sex, age, site of involvement and therapeutic modalities. Br J Dermatol. 2003;148:703–8.
Magliocca KR, Rand MK, Su LD, Helman JI. Melanoma-in situ of the oral cavity. Oral Oncol Extra. 2006;42(1):46–8.
Tremblay JF, O’Brien EA, Chauvin PJ. Melanoma in situ of the oral mucosa in an adolescent with dysplastic nevus syndrome. J Am Acad Dermatol. 2000;42(5 Pt 1):844–6.
Spieth K, Kovács A, Wolter M, Bug R, Kaufmann R, Gille J. Topical imiquimod: effectiveness in intraepithelial melanoma of oral mucosa. Lancet Oncol. 2006;7(12):1036–7.
Kemp S, Gallagher G, Kabani S, Moskal R. Persistent melanoma in situ: case report and review. J Oral Maxillofac Surg. 2008;66(9):1945–8.
Luna-Ortiz K, Campos-Ramos E, Pasche P, Mosqueda-Taylor A. Oral mucosal melanoma: conservative treatment including laser surgery. Med Oral Patol Oral Cir Bucal. 2011;16(3):e381–5.
Hajar-Serviansky T, Gutierrez-Mendoza D, Galvan IL, Lammoglia-Ordiales L, Mosqueda-Taylor A, de Lourdes Hernandez-Cázares M, Toussaint-Caire S. A case of oral mucosal melanoma. Clinical and dermoscopic correlation. J Dermatol Case Rep. 2012;6(1):1–4.
Park HS, Saida T, Park SY, Cho KH, Lee JH, Cho S. Case of mucosal lentiginous melanoma in situ of the upper lip with a long radial growth phase. J Dermatol. 2012;39(7):651–3.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No conflict of interest to disclose.
Rights and permissions
About this article
Cite this article
Sedassari, B.T., Lascane, N.A.d., de Freitas, A.L.S. et al. In Situ Melanoma of the Gingiva Associated with Dense Inflammation and Pigment Deposition: A Potential Diagnostic Pitfall in Evaluating Stromal Invasion. Head and Neck Pathol 10, 547–551 (2016). https://doi.org/10.1007/s12105-016-0728-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12105-016-0728-3