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Aural metastasis from a nasal malignant melanoma: case report with literature review

Published online by Cambridge University Press:  22 August 2011

I Khan ,
S Mohamad ,
M Shakeel  and
M J Jaramillo
I Khan*
Affiliation:
ENT Department, Aberdeen Royal Infirmary, Dundee, Scotland, UK
S Mohamad
Affiliation:
ENT Department, Ninewells Hospital, Dundee, Scotland, UK
M Shakeel
Affiliation:
ENT Department, Aberdeen Royal Infirmary, Dundee, Scotland, UK
M J Jaramillo
Affiliation:
ENT Department, West Wales General Hospital NHS Trust, Carmarthen, Wales, UK
*
Address for correspondence: Mr Imran Khan, ENT Specialist Registrar, Ward 45, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, Scotland, AB25 2ZN Fax: +44 (0)1224 554569 E-mail: drkhanimran@gmail.com
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Abstract

Objective:

To raise awareness of nasal malignant melanoma, a rare tumour, and to highlight the difficulty associated with its optimum management.

Method:

Case report and literature review.

Case report:

A 71-year-old, Caucasian man was diagnosed with malignant melanoma in the right nasal cavity, after presenting with right-sided epistaxis. He underwent endoscopic medial maxillectomy; histological analysis confirmed that the resection margins were clear. However, within six months he re-presented with a metastatic deposit of malignant melanoma in his right external auditory canal, for which he underwent right temporal bone resection. There was no evidence of distant metastasis on radiological studies. Unfortunately, within a month the tumour recurred in the right nasopharynx. A multidisciplinary team decision was made to offer the patient palliative chemoradiotherapy.

Conclusion:

Mucosal malignant melanoma of the nose is very rare, and aural metastasis from this primary site has not previously been reported. Optimum management must involve a multidisciplinary team.

Keywords

Ear, ExternalMalignant MelanomaNeoplasm MetastasisTemporal BoneNasal Cavity
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 12 , December 2011 , pp. 1290 - 1293
Copyright
Copyright © JLO (1984) Limited 2011

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