| BURENZAYA TUVDENDORJ,
BURENZAYA TUVDENDORJ1, URANZAYA YUNGERMAA1, LUTZUL MENDBAYAR1, AMARSANAA GANTULGA1, YANJINLKHAM MUNKHBAYAR1, DENIS SKURATOV1, GANCHIMEG GANKHUYAG2
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Oral mucosal melanoma is a rare, indolent malignant tumor. Early in the
course of the disease, dark brown spots, nodules, or gray, red, or
purple nodules or areas of depigmentation may be seen on the oral
mucosa, and these changes tend to go unnoticed during oral and dental
examinations.
A 42-years-old Mongolian man, A bloody abscess appeared at the site of
the tooth extraction in the left upper jaw. The upper left 1st and 2nd
molars were extracted and were about 3x3cm in size, growing from the
hard palate and the palatine fold towards the uvula, bluish-brown in
color, rough, with a soft texture, bleeding easily from the bite, and
having an unpleasant odor.
Biopsy revealed melanoma, which was confirmed by additional
immunohistochemistry. Molecular genetic analysis also revealed a BRAF
gene mutation.
The patient underwent a planned procedure under general anesthesia, in
accordance with the National Comprehensive Cancer Network guidelines.
Currently, the primary tumor has not recurred and distant metastasis of
the tumor has not been identified.
During the oral examination, it is important for professionals to pay
close attention to both benign and malignant changes in the oral mucosa. |