Mucosal melanoma
Mucosal melanoma is a rare condition characterized by a melanoma of the mucous membranes. This subtype is associated a worse prognosis than those arising from the skin.[1]:696[2] Mucosal melanomas occur in the head and neck (55%), anorectal (24%) and vulvovaginal region (18%), and in the urinary tract (3%).[3] Based on the histopathologic and clinical features, melanomas of the vulva and vagina are often considered a separate disease entity. [4] The prognosis of vulvovaginal melanomas is poor, especially for vaginal melanomas and has not improved over the last decades. [5]
Mucosal Melanoma | |
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Pronunciation |
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Specialty | Oncology, pathology, dermatology, gynecology, gastroenterology |
Symptoms | malaise, fatigue, bleeding, diarrhea, constipation, nose bleeds, skin discoloration, itching, discharge, ulcers, anosmia, hyposmia, skin irritation, canker sores, bloody stools, bloody urine, gum disease, rosacea |
Complications | distant and/or microscopic metastasis |
Types | mucosal melanoma of the head and neck, vulvar melanoma, vaginal melanoma, anorectal melanoma |
Causes | smoking, carcinogens, genetics, chemicals, CID, HIV |
Diagnostic method | biopsy, colonoscopy |
Treatment | radiation, chemotherapy, surgery |
See also
References
- James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: Clinical Dermatology. Saunders Elsevier. ISBN 978-0-7216-2921-6.
- Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
- Chang AE, Karnell LH, Menck HR (October 1998). "The National Cancer Data Base report on cutaneous and noncutaneous melanoma: a summary of 84,836 cases from the past decade. The American College of Surgeons Commission on Cancer and the American Cancer Society". Cancer. 83 (8): 1664–78. doi:10.1002/(sici)1097-0142(19981015)83:8<1664::aid-cncr23>3.0.co;2-g. hdl:2027.42/34348. PMID 9781962.
- Wohlmuth C, Wohlmuth-Wieser I (December 2019). "Vulvar malignancies: an interdisciplinary perspective". J Dtsch Dermatol Ges. 17 (12): 1257–1276. doi:10.1111/ddg.13995. PMID 31829526.
- Wohlmuth C, Wohlmuth-Wieser I, May T, Vicus D, Gien LT, Laframboise S (November 2019). "Malignant Melanoma of the Vulva and Vagina: A US Population-Based Study of 1863 Patients". American Journal of Clinical Dermatology. doi:10.1007/s40257-019-00487-x. PMID 31784896.
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