Güze ÖZAL, Mutlu DOĞAN, Gülşah KAYGUSUZ, Güngör UTKAN, Bülent YALÇIN, Fikri İÇLİ

Primary Nasal Cavity Malignant Melanoma Presenting with Epistaxis

Nazal kavitede ve paranazal sinüste mukozal malign melanom nadirdir, yaşlılarda daha sıktır ve kötü seyirlidir. Nazal obstrüksiyona ve/veya epistaksise neden olabilir. Kırk altı yaşında erkek hasta üç aylık epistaksis ile hastaneye başvurdu. Endoskopik incelemede sol nazal kaviteyi dolduran siyah kitle saptandı. İmmünhistokimya boyama ile histopatolojide malign melanom saptandı. Uzak metastazı olmadığı için cerrahi rezeksiyon uygulandı. Burada, literatür gözden geçirilerek mukozal malign melanom tartışılmıştır.

Anahtar Kelimeler:

Mukozal malign melanoma, paranazal sinüs maligniteleri, nazal kavite malign melanoma, epistaksis

EPİSTAKSİS İLE BAŞVURAN PRİMER NAZAL KAVİTE MALİGN MELANOMU

Primary mucosal malignant melanoma in the nasal cavity and paranasal sinus is rare, and it has predominance in elderly patients with poor prognosis. It may lead nasal obstruction and/or epistaxis. A 46-year-old man was admitted to the hospital with three months of epistaxis. A black mass filling left nasal cavity was found on endoscopic examination. Histopathology with immunohistochemical staining revealed malignant melanoma. He had surgical resection since he had no distant metastasis. In here, mucosal malignant melanoma is discussed with review of the literature.

Keywords:

Mucosal malignant melanom, malignancy in paranasal sinuses, nasal cavity malignant melanoma, epistaxis,

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