Tonsil metastasis from cutaneous melanoma: first clinical sign of recurrence after complete lymph node dissection

Journal of Cutaneous Medicine and Surgery
Roberto CecchiCataldo De Gaudio

Abstract

The development of melanoma metastasis to the palatine tonsil is a very rare event, generally associated with advanced-stage disease and poor prognosis. A 29-year-old man presented with a melanoma metastasis to the right palatine tonsil 6 months after the surgical excision of an ulcerated nodular melanoma (tumor thickness 1.8 mm, Clark level IV) on the left shoulder. A metastatic sentinel lymph node had been removed from the left axilla, and a subsequent complete lymph node dissection had disclosed no further metastatic lymph nodes. Although staging tests had revealed multiple visceral metastases, a palliative tonsillectomy was performed. The patient died of metastases 5 months later. The case presentation suggests that careful examination of the head and neck should be part of the routine follow-up visit in all melanoma patients.

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Citations

Oct 12, 2013·The Laryngoscope·Matthew Mifsud, Tapan A Padhya
Nov 10, 2015·Case Reports in Oncological Medicine·Lucas Novaes TeixeiraVera Cavalcanti de Araújo
Mar 21, 2013·Age and Ageing·Graziela de Oliveira SemenzatiRegina Helena Garcia Martins
Dec 19, 2013·Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society·Xiao-Hong ChenKui Zhao
Oct 17, 2020·Clinical Nuclear Medicine·Yaser M Baghdadi, Ana Y Valdivia

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Methods Mentioned

BETA
biopsy
dissection

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