Skip to main content

Abstract

Sinonasal melanoma is a relatively common skull base malignancy that can arise in the nasal cavity (often along the nasal septum) or paranasal sinuses and occasionally primarily in the sphenoid sinus.

The mean age at presentation is 63–67 years.

The most common clinical presentation is epistaxis and airway obstruction.

In rare circumstances, melanoma can arise primarily in the sellar region.

In other rare cases, melanoma can metastasize to the pituitary gland.

Melanoma in this region may cause visual loss, hypopituitarism, headache, and cranial nerve paresis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Busaba NY. Primary melanoma of the sphenoid sinus. Otolaryngol Head Neck Surg. 2000;123:748–9.

    Article  CAS  PubMed  Google Scholar 

  2. Lynch SC, Lee AG, Graham SM, Kirby PA. Primary melanoma of the sphenoid sinus presenting with a third cranial nerve palsy. J Neuroophthalmol. 2005;25:289–92.

    Article  PubMed  Google Scholar 

  3. Clifton N, Harrison L, Bradley PJ, Jones NS. Malignant melanoma of nasal cavity and paranasal sinuses: report of 24 patients and literature review. J Laryngol Otol. 2011;125:479–85.

    Article  CAS  PubMed  Google Scholar 

  4. Ganly I, Patel SG, Singh B, Kraus DH, Bridger PG, Cantu G, et al. Craniofacial resection for malignant melanoma of the skull base: report of an international collaborative study. Arch Otolaryngol Head Neck Surg. 2006;132:73–8.

    Article  PubMed  Google Scholar 

  5. Sidiropoulos M, Syro LV, Rotondo F, Scheithauer BW, Penagos LC, Uribe H, et al. Melanoma of the sellar region mimicking pituitary adenoma. Neuropathology. 2013;33:175–8.

    Article  PubMed  Google Scholar 

  6. Scholtz CL, Siu K. Melanoma of the pituitary. Case report. J Neurosurg. 1976;45:101–3.

    Article  CAS  PubMed  Google Scholar 

  7. Tüttenberg J, Fink W, Back W, Wenz F, Schadendorf D, Thomé C. A rare primary sellar melanoma. Case report. J Neurosurg. 2004;100:931–4.

    Article  PubMed  Google Scholar 

  8. Leung GK, Chow WS, Tan KC, Fan YW, Lam KS. Metastatic melanoma of the pituitary gland. Case report. J Neurosurg. 2003;99:913–5.

    Article  PubMed  Google Scholar 

  9. McCutcheon IE, Waguespack SG, Fuller GN, Couldwell WT. Metastatic melanoma to the pituitary gland. Can J Neurol Sci. 2007;34:322–7.

    Article  PubMed  Google Scholar 

  10. Wang YY, Norris A, de Plessis D, Gnanalingham KK. Melanoma of the sellar region. J Clin Neurosci. 2011;18:154–6.

    Article  CAS  PubMed  Google Scholar 

  11. Neilson JM, Moffat AD. Hypopituitarism caused by a melanoma of the pituitary gland. J Clin Pathol. 1963;16:144–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Chappell PM, Kelly WM, Ercius M. Primary sellar melanoma simulating hemorrhagic pituitary adenoma: MR and pathologic findings. AJNR Am J Neuroradiol. 1990;11:1054–6.

    CAS  PubMed  Google Scholar 

  13. Yousem DM, Li C, Montone KT, Montgomery L, Loevner LA, Rao V, et al. Primary malignant melanoma of the sinonasal cavity: MR imaging evaluation. Radiographics. 1996;16:1101–10.

    Article  CAS  PubMed  Google Scholar 

  14. Raghavan P, Phillips CD. Magnetic resonance imaging of sinonasal malignancies. Top Magn Reson Imaging. 2007;18:259–67.

    Article  PubMed  Google Scholar 

  15. Kerr EH, Hameed O, Lewis Jr JS, Bartolucci AA, Wang D, Said-Al-Naief N. Head and neck mucosal malignant melanoma: clinicopathologic correlation with contemporary review of prognostic indicators. Int J Surg Pathol. 2012;20:37–46.

    Article  PubMed  Google Scholar 

  16. Moreno MA, Roberts DB, Kupferman ME, DeMonte F, El-Naggar AK, Williams M, et al. Mucosal melanoma of the nose and paranasal sinuses, a contemporary experience from the M. D. Anderson Cancer Center. Cancer. 2010;116:2215–23.

    PubMed  Google Scholar 

  17. Koivunen P, Bäck L, Pukkila M, Laranne J, Kinnunen I, Grénman R, Mäkitie AA. Accuracy of the current TNM classification in predicting survival in patients with sinonasal mucosal melanoma. Laryngoscope. 2012;122:1734–8.

    Article  PubMed  Google Scholar 

  18. Gore MR, Zanation AM. Survival in sinonasal melanoma: a meta-analysis. J Neurol Surg B Skull Base. 2012;73:157–62.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Suh JD, Ramakrishnan VR, Chi JJ, Palmer JN, Chiu AG. Outcomes and complications of endoscopic approaches for malignancies of the paranasal sinuses and anterior skull base. Ann Otol Rhinol Laryngol. 2013;122:54–9.

    Article  PubMed  Google Scholar 

  20. Lund VJ, Chisholm EJ, Howard DJ, Wei WI. Sinonasal malignant melanoma: an analysis of 115 cases assessing outcomes of surgery, postoperative radiotherapy and endoscopic resection. Rhinology. 2012;50:203–10.

    CAS  PubMed  Google Scholar 

  21. Roth TN, Gengler C, Huber GF, Holzmann D. Outcome of sinonasal melanoma: clinical experience and review of the literature. Head Neck. 2010;32:1385–92.

    Article  PubMed  Google Scholar 

  22. Gal TJ, Silver N, Huang B. Demographics and treatment trends in sinonasal mucosal melanoma. Laryngoscope. 2011;121:2026–33.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gabriel Zada MD, MS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Zada, G., Lopes, M.B.S., Mukundan, S., Laws, E. (2016). Sinonasal Melanoma. In: Zada, G., Lopes, M., Mukundan Jr., S., Laws Jr., E. (eds) Atlas of Sellar and Parasellar Lesions. Springer, Cham. https://doi.org/10.1007/978-3-319-22855-6_45

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-22855-6_45

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22854-9

  • Online ISBN: 978-3-319-22855-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics