Portal de Periódicos da CAPES

A case of oral mucosal melanoma. Clinical and dermoscopic correlation.

2012; Volume: 6; Issue: 1 Linguagem: Inglês

10.3315/jdcr.2012.1085

1898-7249

Tamar Hajar-Serviansky, Daniela Gutiérrez‐Mendoza, Iris Lavinia Galvan, Lorena Lammoglia‐Ordiales, Adalberto Mosqueda‐Taylor, Maria de Lourdes Hernandez-Cázares, Sonia Toussaint‐Caire,

Nail Diseases and Treatments

Background: Most patients with oral mucosal melanoma have had a mucosal hyper pigmented area for months or even years before the diagnosis, it is important to consider the differential diagnosis of mucosal melanoma, which in many cases is a difficult diagnosis and because of the aggressive biological behavior of mucosal melanoma it is important to do a quick diagnosis. Main observation:A 40-year-old Mexican male patient, presented with a lesion on the lower right half of the lip covering almost the entire vermillion border, 1 mm below the white roll.The lesion was a 1.5 x 4 cm pigmented macule with asymmetric and irregular borders and colors.Dermoscopy showed a multi component pattern.An incision biopsy was performed under the impression of mucosal melanoma.The pathologic report described a Clark I vermillion edge mucosal melanoma in situ.Conclusions: This case had confounding clinical signs that could have misguided the clinician.But dermoscopy proved to be useful when suspecting a malignant lesion, which prompted a biopsy and a correct diagnosis.(