Oral mucosal melanoma: conservative treatment including laser surgery.

Details

Serval ID
serval:BIB_341C01A4815F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Oral mucosal melanoma: conservative treatment including laser surgery.
Journal
Medicina Oral, Patología Oral Y Cirugía Bucal
Author(s)
Luna-Ortiz K., Campos-Ramos E., Pasche P., Mosqueda-Taylor A.
ISSN
1698-6946 (Electronic)
ISSN-L
1698-4447
Publication state
Published
Issued date
2011
Volume
16
Number
3
Pages
e381-e385
Language
english
Abstract
Objective: To discuss the convenience of laser surgery as optimal treatment for melanoma of the oral mucosa.Patients and methods: A retrospective evaluation of four patients with primary oral melanomas treated at a single Cancer Institution in Mexico City.Results: Two patients were treated with resection of the melanoma with CO2 laser together with extraction of the involved dental organs and curettage of the alveolar walls. These two cases had melanoma in situ with multiple isolated foci. The third patient had a lesion with vertical growth, who was submitted to partial maxillectomy along with selective dissection of bilateral neck levels I-V with a negative report and the fourth patient had a history of oral nodular melanoma and presented with lymph node metastasis. According to follow-up status, there was no distant metastasis in any of the patients reported here.Conclusion: In our experience, conservative management with CO2 laser is adequate for melanomas of the oral mucosa with extraction of the dental organs and curettage of the alveoli to achieve complete surgical resection microscopically without sacrifice of the quality of life. Management of the neck is controversial. We recommend selective therapeutic resection of the neck only if it is found to be clinically positive. Elective dissection has not shown to have an impact in overall survival.
Pubmed
Web of science
Create date
20/06/2011 15:35
Last modification date
20/08/2019 13:20
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