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Primary malignant mucosal melanoma of the maxillofacial area

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±èÇö¹Î ( Kim Hyoun-Min ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
ÀÌ»óÈÆ ( Lee Sang-Hoon ) - National Cancer Center Research Institute and Hospital Oral Oncology Clinic
Â÷ÀÎÈ£ ( Cha In-Ho ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
±èÇüÁØ ( Kim Hyung-Jun ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
³²¿õ ( Nam Woong ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Objectives: We aimed to collect and report data from all patients who have been diagnosed with mucosal malignant melanoma to obtain the epidemiology and principles of current treatments.

Materials and Methods: Between January 2008 and December 2018, 20 patients underwent surgery or follow-up observations at Yonsei University Dental Hospital. The patients¡¯ clinical information was reviewed retrospectively.

Results: Seventeen of 20 patients had undergone definitive surgery, while only 6 patients received adjuvant radiotherapy or systemic therapy. Eight of 20 patients, including those that had recurrent lesions, were provided immunotherapy. The 3-year survival for all stages was 50%, with a local recurrence rate of 75% and a metastasis rate of 65%.

Conclusion: The overall survival of patients receiving surgical treatment was longer than that of patients who did not undergo surgical resection. Eight of 20 patients received immunotherapy as the first-line regimen at our clinic, and those patients exhibited longer overall survival compared to patients in reported keynote studies.

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Malignant melanoma; Immunotherapy; Oral cancer

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