scholarly journals Solitary Pigmented Melanocytic Lesion on the Palatal and Gingival Mucosa: Should It Rise Dentist’s Concerns?

2017 ◽  
Vol 1 ◽  
Author(s):  
Cut Mytha Fitriana ◽  
Yuniardini Septorini Wimardhani
Keyword(s):  
Oral Mucosa ◽  
Malignant Lesion ◽  
Melanocytic Lesion ◽  
Oral Mucosal Lesion ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
Dental Hospital ◽  
Oral Malignant Melanoma ◽  
Gingival Mucosa ◽  
The Right

<p class="AbstractContent"><strong>Background:</strong> Solitary pigmented melanocytic lesions of the oral mucosa are sometimes presented asymptomatically. Therefore, the patient does not realize their presence. To establish a diagnosis is challenging since there are similarities with other lesions. Once pigmented lesions on the oral mucosa are found, we need to do a proper diagnosis pathway to rule out the possibility of missing the detection of a malignant lesion. This report presents a case of pigmented oral mucosa located on the palatal and gingival mucosa that had to raise the suspicion to malignant pigmented lesion.</p><p class="AbstractContent"><strong>Case Report and Management:</strong> A 46-years-old female with an asymptomatic dark bluish hue at the right hard palate towards the soft palate with a purplish at the 48-retro molar pad area for ten years ago, until a family general dentist concerned about the lesion and made the referral to our Dental Hospital. Based on the history and clinical assessment of the lesion using a diagnostic pathway, a provisional diagnosis of oral malignant melanoma was made. The biopsy for histopathological evaluation was decided. However, some obstacles prevent the patient to do the procedure. The differences in the level of awareness about pigmented lesion in the oral mucosa of the dentists involve in this patient care complicated the process of diagnosis of the lesion.</p><p class="AbstractContent"><strong>Conclusion: </strong>The dentist’s awareness on the possibility of finding a nonbenign lesion in the oral cavity is needed. It is important for the dentist to make a diagnosis pathway when finding pigmented oral mucosal lesion.</p>

scholarly journals Oral malignant melanoma: History of malignant degeneration of a pigmented lesion

2019 ◽  
Vol 25 (2) ◽  
pp. 19 ◽  
Author(s):  
Nour Mellouli ◽  
Samah Sioud ◽  
Maroua Garma ◽  
Abdellatif Chokri ◽  
Habib Hamdi ◽  
...  
Keyword(s):  
Malignant Melanoma ◽  
Malignant Transformation ◽  
Oral Mucosa ◽  
Malignant Lesion ◽  
Final Diagnosis ◽  
Malignant Degeneration ◽  
Close Monitoring ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
Oral Malignant Melanoma

Introduction: Oral malignant melanoma (OMM) is a rare malignant lesion of the oral mucosa. It accounts for 0.5% of oral cavity cancers and less than 1% of all melanomas. Most cases arise on the palate or gingiva. OMM is caused by unknown factors. Benign pigmentation may precede the neoplasm by several years. The malignant transformation of benign melanosis is poorly understood. Observation: The aim of this work is to present a new clinical case of oral malignant melanoma which appeared on benign melanosis with a brief review of the literature. A 37-year-old woman presented with a blackish pigmented plaque that covered the hard palate and vestibular maxillary gingiva and a soft, friable 2 cm nodule with ulcerated surface next to the 11, 12 and 13. Fifteen years ago, the patient underwent a biopsy that was in favor of benign melanosis. Unfortunately, the patient was followed for one year and then was lost. Recently, in front of the rapidity of the extension of the lesion, she came again. After biopsy, a final diagnosis of OMM is retained. Commentaries: OMM is often asymptomatic. It presents usually as a 1.5–4 cm, blackish grey, irregular, flat or nodular lesion. The neoplasm can appear on apparently normal oral mucosa and may be preceded by benign pigmented lesions. Few articles discussed malignant transformation of benign melanosis. OMM is characterized by its poor prognosis. The treatment of choice for OMM remains surgery with wide clear margins. Conclusion: Close monitoring is needed to detect signs of transformation and to early diagnose melanoma.

scholarly journals Congenital melanocytic nevus of the oral mucosa: report of a rare pigmented lesion and review of the literature

2011 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Melanie Louise Gilbert ◽  
Weddad Hanna ◽  
Danny Ghazarian ◽  
Dean Dover ◽  
Hagen Benjamin Edward Klieb
Keyword(s):  
Oral Mucosa ◽  
Melanocytic Nevus ◽  
Congenital Melanocytic Nevus ◽  
Review Of The Literature ◽  
Melanocytic Nevi ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
Congenital Melanocytic Nevi

Oral pigmented lesions are uncommon and congenital melanocytic nevi are especially rare. We report a case of a patient with multiple congenital melanocytic nevi including a palatal lesion. This is reported to add to the scant literature that exists on this subject. Prognosis and management are discussed.

scholarly journals Oral Malignant Melanoma: A Case Report

2021 ◽  
Vol 122 (3) ◽  
pp. 222-227
Author(s):  
Suman Sen ◽  
Sheuli Sen ◽  
M. Geetha Kumari ◽  
Sufia Khan ◽  
Subhasini Singh
Keyword(s):  
Malignant Melanoma ◽  
Poor Prognosis ◽  
Hard Palate ◽  
Middle Age ◽  
Early Recognition ◽  
Malignant Neoplasm ◽  
Pigmented Lesions ◽  
The Poor ◽  
Pigmented Lesion ◽  
Oral Malignant Melanoma

Melanoma is a malignant neoplasm of the epidermal melanocytes. Awareness and early recognition of pigmented lesion inside oral cavity helps in initial diagnosis and further investigation and treatment. Oral malignant melanoma is a rare aggressive neoplasm commonly seen among middle age. The diagnosis of melanoma initiates from the pre-existing pigmented lesions. The poor prognosis of oral melanomas requires that pigmented lesions of undetermined origin be routinely biopsied. A case of malignant melanoma of hard palate with its clinical, radiological and histopathological presentation along with brief review is presented. Prognosis of these lesion is poor with survival rate of 5 years.

scholarly journals A Large Oral Melanoma: A Case Report of a Rare but Aggressive Malignancy

2021 ◽  
Author(s):  
Kritsasith Warin ◽  
Poramaporn Klanrit ◽  
Nutdanai Pattanajakr
Keyword(s):  
Buccal Mucosa ◽  
Alveolar Ridge ◽  
Immunohistochemical Markers ◽  
Oral Melanoma ◽  
Pigmented Lesions ◽  
Life Threatening ◽  
Oral Malignant Melanoma ◽  
Oral Malignancies ◽  
The Right ◽  
Pigmented Nevus

AbstractA variety of black-pigmented lesions of the oral cavity can be found, ranging from harmless benign lesions such as melanotic macule, smoker’s melanosis, amalgam/graphite tattoos, and pigmented nevus to a life-threatening oral malignant melanoma. Oral melanoma is a rare and aggressive malignant tumor that originates from melanocytes’ proliferation and accounts for only 0.5% of all oral malignancies. The etiology is unknown. Most oral melanomas are present at the palate and the upper alveolar ridge, whereas occurrences at the buccal mucosa, the lower alveolar ridge, and the lip are rare, with only a few reports in the literature. The diagnosis is confirmed by a biopsy. The prognosis is poor, with a 5-year survival rate of ~20%. In this report, we present a case of large oral melanoma at the right buccal mucosa involving the right lower alveolar ridge and lip commissure, which are relatively unusual locations for oral melanoma. In addition, immunohistochemical markers used for diagnostic, therapeutic, and prognostic decision-making of oral melanoma are also discussed.

Tick infestation masquerading as a nodule in the eye lid

2020 ◽  
Vol 12 (1) ◽  
pp. 106-109
Author(s):  
Nirsara Shrestha ◽  
Sangeeta Shrestha ◽  
Arjun Shrestha ◽  
Barsha Suwal ◽  
Samata Sharma
Keyword(s):  
Case Report ◽  
Tick Infestation ◽  
Tick Bite ◽  
Diagnostic Dilemma ◽  
Recent Onset ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
The Right ◽  
High Index Of Suspicion ◽  
Pigmented Nevi

Introduction: Ticks are ectoparasites which can lead to various blood borne diseases. Tick bite may resemble pigmented nevi, mole or nodule resulting a diagnostic dilemma. Tick bite in eye lid is rare and this case report describes tick bite in lower eye lid mimicking a traumatized pigmented nodule where the tick was identified only on magnification and was successfully removed mechanically. Case: A 61-year-old man presented to the eye out patient department with a sudden and painful black pigmented lesion on the right lower lid for four days. The tick was manually removed with forceps. Conclusion: This case report explains the need for a high index of suspicion as tick bite in sudden or recent onset pigmented lesions especially in endemic areas.

scholarly journals Prevalence of smoker’s palate and smoker’s melanosis among patients visiting a private dental college

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 402-407
Author(s):  
Nor Syakirah binti Shahroom ◽  
Manjari Chaudhary ◽  
Iffat Nasim
Keyword(s):  
Retrospective Study ◽  
Oral Cancer ◽  
Oral Mucosa ◽  
Tobacco Consumption ◽  
Statistical Software ◽  
Oral Mucosal Lesion ◽  
Male Group ◽  
Oral Mucosal Lesions ◽  
Dental Hospital ◽  
Mucosal Lesions

Tobacco consumption including smoked or smokeless type is harmful for the oral mucosa as it promotes the development of oral cancer and oral mucosal lesions such as leukoplakia, smoker’s palate (nicotinic stomatitis), smoker’s melanosis and other types of lesions. A retrospective study was conducted in a dental hospital from July 2019 till March 2020. A total of 146 patients diagnosed with smoker’s palate, smoker’s melanosis or both were included in this study. The data variables including socio-demographic and patients diagnosed with smoker’s palate and smoker’s melanosis were recorded and analyzed using SPSS Statistical software Version 20. Smoker’s palate and smoker’s melanosis were prevalent in 50-59 years and predominant in males. In this present study, smoker’s palate (53.4%) was more prevalent followed by smoker’s melanosis (24%) and smoker’s palate and melanosis (22.6%). There was statistically insignificant association between the age and types of oral mucosal lesion (p>0.05). It can be concluded that smoker’s palate was more prevalent followed by smoker’s melanosis and both in which 50-59 years age and male group were more predominant.

scholarly journals Intramucosal Nevus in the Oral Cavity

2015 ◽  
Vol 16 (1) ◽  
pp. 74-76 ◽  
Author(s):  
Daniel Antunes Freitas ◽  
Paulo Rogério Bonan ◽  
Arlen Almeida Sousa ◽  
Mayane Moura Pereira ◽  
Stephany Mendes Oliveira ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Clinical Case ◽  
Excisional Biopsy ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
Mucous Membranes ◽  
Uncommon Condition ◽  
Dental Professionals

ABSTRACT Aim The aim of this study is to report a clinical case of oral nevus. Background Nevus is a congenital or acquired benign neoplasia that can be observed in the skin or mucous membranes. It is an uncommon condition in the oral mucosa. When it does occur, the preferred location is on the palate, followed by the cheek mucosa, lip and tongue. Case report In this case study, we relate the diagnosis and treatment of a 23-year-old female patient with an irregular, pigmented lesion of the oral mucosa that underwent excisional biopsy resulting in a diagnosis of intramucosal nevus. Conclusion Nevus can appear in the oral mucosa and should be removed. Clinical significance It is important for dental professionals to adequately categorize and treat pigmented lesions in the mouth. How to cite this article Freitas DA, Bonan PR, Sousa AA, Pereira MM, Oliveira SM, Jones KM. Intramucosal Nevus in the Oral Cavity. J Contemp Dent Pract 2015;16(1):74-76.

scholarly journals Oral manifestations of a sinus melanoma: case report and literature review

2019 ◽  
Vol 25 (4) ◽  
pp. 35
Author(s):  
Mélanie Le Donne ◽  
Anne-Gaëlle Bodard ◽  
Candice Lesage ◽  
Bertrand Fleury
Keyword(s):  
Case Report ◽  
Oral Mucosa ◽  
Poor Prognosis ◽  
Metastatic Progression ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
Rare Malignancy ◽  
Late Stages ◽  
Treatment Consensus ◽  
Melanoma Case

Introduction: Mucosal melanoma (MM) is a rare malignancy of the head and neck. Sinonasal melanomas are the most frequent, followed by oral melanomas. Observation: A 67-year-old patient with a known left sinus melanoma initially treated with immunotherapy was referred for consultation concerning mobile teeth. A pigmented lesion infiltrating the left maxillary arch in the molar area was detected. The malignancy had invaded the oral mucosa. Despite many proposed treatments (immunotherapy, chemotherapy, and radiotherapy), the patient showed metastatic progression, which resulted in death. Discussion: Sinus MMs are malignancies with poor prognosis because these are often diagnosed in the late stages of disease progression. As these tumors are rare, there is no treatment consensus and surgery remains the best option. Diagnosis of pigmented lesions of the oral mucosa is sometimes complicated because of various implied etiologies. Conclusion: This case report shows that sinus MMs can induce pigmentation in the oral mucosa. These are rare malignancies with poor prognosis, for which no treatment consensus exists to date.

Pigmented Lesions of the Oral Mucosa

2021 ◽  
pp. 139-169
Author(s):  
Alfredo Aguirre ◽  
Faizan Alawi ◽  
Jose Luis Tapia
Keyword(s):  
Oral Mucosa ◽  
Pigmented Lesions

scholarly journals Prevalence of Oral Mucosal Lesions in a Tertiary Care Dental Hospital of Kathmandu

2017 ◽  
Vol 56 (207) ◽  
pp. 362-366
Author(s):  
Dipshikha Bajracharya ◽  
Sujaya Gupta ◽  
Bidhata Ojha ◽  
Radha Baral
Keyword(s):  
Squamous Cell Carcinoma ◽  
Retrospective Study ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Oral Mucosa ◽  
Buccal Mucosa ◽  
Tertiary Care ◽  
Oral Mucosal Lesions ◽  
Dental Hospital ◽  
Mucosal Lesions

Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. Methods: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. Results: A total of 111 biopsy cases were included in the present study. Out of which, there was 16 (14.4%) cases of non neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age range between 6-74 years where males 59 (53.2%) were mostly affected. The most common site for oral lesion was buccal mucosa 23 (20.7%) and anterior gingiva 23 (20.7%). 15 (13.5%) cases of oral squamous cell carcinoma were seen as the predominant malignancy affecting in the vestibular region 8 (7.2%). Conclusions: The present study shows benign as well as the non neoplastic lesions were more prevalent in oral mucosa with the buccal mucosa and anterior gingiva as the commonest site of occurrence. Keywords: Benign; Malignant; Non neoplastic; Oral mucosal lesion.

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