PP164: Oral melanoma: Case report and literature review

The mucosal melanoma is a rare and aggressive malignancy, its prevalence is around 2% of all head and neck cancers and less than 1% of all melanomas occur in the oral mucosa. In the oral cavity the most affected sites are the hard palate and maxillary gingiva. This neoplasia affects slightly more men than women in aged 50–60 years. Case: Patient male, 66 years old and asian for medical consultation with a dark lesion, painless, nodular, sessile, high threshold for vestibular site and inaccurate in upper gum left molar region. Biopsy was performed that confirmed invasive melanoma and were ordering tests for disease staging, which showed no bone invasion or distants metastasis. Patient underwent infrastructure ressection neck dissection levels I to IV with microsurgical reconstruction (forearm free flap).