Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/78640
Type: Artigo de Periódico
Title: An update on the current management of head and neck mucosal melanoma
Authors: Ben Green
Ahmed S. Elhamshary
Ricardo Santiago Gomez
Siavash Rahimi
Peter A. Brennan
Abstract: Primary mucosal melanomas of the head and neck are rare and aggressive tumours that arise in the nasal cavity, paranasal sinuses and more rarely in the oral cavity. The current treatment options include radical surgical resection with adjuvant external beam radiotherapy being offered in high-risk patients. Although the latter can improve regional control, it does not reduce overall survival. Elective neck dissection is recommended for nodular oral mucosal melanoma, but its role in the clinically node negative neck is controversial. Systemic therapies including the use of tyrosine kinase inhibitors for tumours with c-KIT mutations are suitable for patients with advanced loco-regional and/or metastatic disease, but current results are variable. Patients with head and neck mucosal melanoma have a poor prognosis due to the high incidence of metastatic disease. This review assesses the latest evidence in the diagnosis and management of primary oral and head and neck mucosal melanoma including details of systemic therapies.
Subject: Radiotherapy
Neoplasm staging
Margins of excision
Neoadjuvant therapy
Radiotherapy, adjuvant
Neoplasms
Inhibitors, tyrosine kinase
Stem cell factor
Prognosis
Diagnosis
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
Rights: Acesso Aberto
metadata.dc.identifier.doi: https://doi.org/10.1111/jop.12526
URI: http://hdl.handle.net/1843/78640
Issue Date: 2017
metadata.dc.url.externa: https://onlinelibrary.wiley.com/doi/10.1111/jop.12526
metadata.dc.relation.ispartof: Journal of Oral Pathology & Medicine
Appears in Collections:Artigo de Periódico

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