Melanoma maligno da mucosa da cabeça e pescoço: casuística do IPO de Lisboa

Introduction: Mucosal melanoma of the head and neck is an uncommon disease with poor prognosis. Material and Methods: Retrospective chart review of 32 patients treated for head and neck mucosal melanoma in a cancer center from 1998 to 2012. Results: There were 32 cases with an average age of 70. The primary tumor was located in the nasal cavity in 24 patients and in the oral cavity in 8 patients. The majority of patients (23) underwent surgical treatment. Of these, 16 were proposed for adjunctive therapy with radiotherapy. Follow-up time ranged between 26 days to 10 years. The five year survival rate was 18%. Conclusions: The majority of patients had an advanced stage at diagnosis and despite the treatments here was a high rate of mortality. The treatment of choice is surgery. The role of radiation therapy remains controversial.