Outcomes of primary mucosal melanoma originated from sinonasal tract

摘要

Purpose Mucosal melanoma of the head and neck is a rare entity with a poor prognosis. Sinonasal tract is a common occurrence site for this malignancy. The aim of this study is to provide an analysis of 25 patients diagnosed with sinonasal mucosal melanoma (SNMM) treated in a single institution. Patients and methods The medical charts of 25 SNMM patients without distant metastasis treated from 1996 to 2007 were reviewed. Patients were re-staged according to the 7th edition of American Joint Committee on Cancer (AJCC) tumor-node-metastasis (TNM) staging system for head and neck melanoma. Fourteen and 11 patients were diagnosed with T3 or T4 disease, respectively. Three patients had lymph node metastasis at diagnosis. Surgical resection was performed in 21 patients (84 %), and adjuvant radiation therapy was given to all patients except for one. Several patients also received chemotherapy or biological treatment.