Saltar al contenido. Robotic or non-robotic transoral laryngectomy. Head Neck en prensa. Independently published April 30, ISBN Management of the airway in transoral robotic surgery for head and neck cancer.
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Palatine tonsils are the most frequent location of primary mucosal melanoma; however, tonsillar metastasis of cutaneous malignant melanoma are infrequent. The tipical clinical presentation is odynophagia and dysphagia, caused by the growth of a tonsillar mass. Clinical Case: A year-old patient with a clinical history of a cutaneous melanoma in her upper limb left scapula T3bN0M0-stage II , treated with surgery and inmunoterapy, with brain, liver and bile ducts metastasis stage IV diagnosed and treated for five months with immunotherapy with IFN alphab.
She went to the emergency room for recurrent unilateral tonsillitis associated with bleeding, without improvement despite broad-spectrum antibiotic treatment and anti-inflammatories. Given the clinical persistence, it was decided to perform a biopsy of the lesion with the result of a high suspicion of metastatic melanoma. Given the recurrence of episodes of oral bleeding, it was decided to perform a tonsillectomy.
The anatomopathological result confirmed the histology compatible with metastasis of a cutaneous melanoma. The patient presented an adequate postoperative recovery and continues her immunotherapeutic treatment without new lesions at the oropharynx, remaining stable in her disease to date.
Discusion: Distant metastasis of a cutaneous melanoma in the oropharynx are very rare. The surgical treatment provides the double benefit of histological confirmation and the containment of symptoms, so it should be considered without delay. Cutaneous Melanoma with Tonsillar Metastasis.
Tumori Journal. Journal of Cutaneous Medicine and Surgery. Upper aerodigestive tract metastases in disseminated malignant melanoma. Mucosal metastases in malignant melanoma. Primary malignant melanoma at unusual sites: an institutional experience with review of literature. Melanoma Res. Hyams VJ. Metastatic pattern of malignant melanoma: A study of autopsy cases. The American Journal of Surgery. Clinical and Experimental Otorhinolaryngology. Malignant Melanoma Metastatic to the Tonsil.
The Laryngoscope. Metastatic melanoma to the palatine tonsil with a favourable prognosis. Br J Dermatol. Tueche SG. Behavior of malignant melanoma with tonsil metastasis. Ann Med Interne Paris.
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Acta Otorrinolaringológica Gallega
Lateralmente asienta en la pared lateral derecha de la orofaringe, incluyendo la fosa amigdalina y los pilares amigdalinos anteriores y posteriores. Carcinoma mucoepidermoide de base de lengua. Mucoepidermoid carcinoma of the base of the tongue. A surgical approach by means of the median labiomandibulotomy.
Clinic and epidemiologic characteristics in the with squamous cell carcinoma of the mouth and oropharynx. Dedivitis I ; Cristiane M. C ancer of the oral cavity and oropharynx is aggressive. It is one of the commonest cancers in Brazil and may be considered as the commonest in the head and neck. AIM: The objective of this paper is to evaluate clinical and epidemiological factors and the outcome. This was analyzed with emphasis on age, gender, profession, ethnic aspects, tobacco and alcohol use, dental prosthesis, referement origin, site of the lesion, clinical staging, histologic grade, treatment methods, survival and second cancer presence in the study group.
Vida después del diagnóstico de cáncer de orofaringe y de cavidad oral