Delayed Metastatic Melanoma to the Pharyngeal Tonsil in an African American Female
Metastatic melanoma to the mucosa of the upper aerodigestive tract is extremely rare, accounting for
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Veröffentlicht in: | The Ochsner journal 2019-01, Vol.19 (2), p.181-183 |
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creator | Barton, Blair M Ramsey, Tam Magne, Jacqueline M Worley, N Knight |
description | Metastatic melanoma to the mucosa of the upper aerodigestive tract is extremely rare, accounting for |
doi_str_mv | 10.31486/toj.17.0083 |
format | Article |
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A 57-year-old African American female presented for evaluation of a rapidly enlarging unilateral tonsil mass. Three years prior to presentation, she had undergone primary resection of and systemic therapy for cutaneous melanoma on the sole of her right foot. Tonsillectomy confirmed the diagnosis of metastatic melanoma. Because of the poor prognosis of the disease, the patient was referred for palliative chemotherapy but died shortly after beginning treatment.
Metastatic melanoma is a rare disease in African Americans, and the presence of metastatic lesions is a significant prognostic indicator for long-term patient survival. Meticulous head and neck examinations should be performed during the follow-up period, and any pigmented lesion should have a high suspicion for metastasis in any patient with a history of cutaneous melanoma.</description><identifier>ISSN: 1524-5012</identifier><identifier>EISSN: 1524-5012</identifier><identifier>DOI: 10.31486/toj.17.0083</identifier><identifier>PMID: 31258433</identifier><language>eng</language><publisher>United States: Academic Division of Ochsner Clinic Foundation</publisher><subject>Case Reports and Clinical Observations</subject><ispartof>The Ochsner journal, 2019-01, Vol.19 (2), p.181-183</ispartof><rights>Academic Division of Ochsner Clinic Foundation 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c351t-62488bd9c195fa519fab70763239391b0dcf1e40d531730db1195490aff2715b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6584195/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6584195/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31258433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barton, Blair M</creatorcontrib><creatorcontrib>Ramsey, Tam</creatorcontrib><creatorcontrib>Magne, Jacqueline M</creatorcontrib><creatorcontrib>Worley, N Knight</creatorcontrib><title>Delayed Metastatic Melanoma to the Pharyngeal Tonsil in an African American Female</title><title>The Ochsner journal</title><addtitle>Ochsner J</addtitle><description>Metastatic melanoma to the mucosa of the upper aerodigestive tract is extremely rare, accounting for <0.6% of known metastasis to the head and neck region. We present a case of delayed metastatic melanoma to the pharyngeal tonsil.
A 57-year-old African American female presented for evaluation of a rapidly enlarging unilateral tonsil mass. Three years prior to presentation, she had undergone primary resection of and systemic therapy for cutaneous melanoma on the sole of her right foot. Tonsillectomy confirmed the diagnosis of metastatic melanoma. Because of the poor prognosis of the disease, the patient was referred for palliative chemotherapy but died shortly after beginning treatment.
Metastatic melanoma is a rare disease in African Americans, and the presence of metastatic lesions is a significant prognostic indicator for long-term patient survival. Meticulous head and neck examinations should be performed during the follow-up period, and any pigmented lesion should have a high suspicion for metastasis in any patient with a history of cutaneous melanoma.</description><subject>Case Reports and Clinical Observations</subject><issn>1524-5012</issn><issn>1524-5012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpVkFtLAzEQhYMotlbffJb8ALdmNsleXoRSrQqKIvU5zGaTNmUvZTcK_femVkt9mgNz5szMR8glsDEHkSU3vl2NIR0zlvEjMgQZi0gyiI8P9ICc9f2KMcGkiE_JgEMsM8H5kLzfmQo3pqQvxmPv0TsdZIVNWyP1LfVLQ9-W2G2ahcGKztumdxV1DcWGTmzn9LbWZidmpsbKnJMTi1VvLn7riHzM7ufTx-j59eFpOnmONJfgoyQWWVaUuYZcWpSQWyxSliY85jnPoWCltmAEKyWHlLOygGAUOUNr4xRkwUfkdpe7_ixqU2rT-A4rte5cHe5VLTr1v9O4pVq0XyoJv4esEHC9C9Bd2_edsftZYOqHrQpsFaRqyzbYrw737c1_MPk3kD51bg</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Barton, Blair M</creator><creator>Ramsey, Tam</creator><creator>Magne, Jacqueline M</creator><creator>Worley, N Knight</creator><general>Academic Division of Ochsner Clinic Foundation</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20190101</creationdate><title>Delayed Metastatic Melanoma to the Pharyngeal Tonsil in an African American Female</title><author>Barton, Blair M ; Ramsey, Tam ; Magne, Jacqueline M ; Worley, N Knight</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-62488bd9c195fa519fab70763239391b0dcf1e40d531730db1195490aff2715b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Case Reports and Clinical Observations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barton, Blair M</creatorcontrib><creatorcontrib>Ramsey, Tam</creatorcontrib><creatorcontrib>Magne, Jacqueline M</creatorcontrib><creatorcontrib>Worley, N Knight</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Ochsner journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barton, Blair M</au><au>Ramsey, Tam</au><au>Magne, Jacqueline M</au><au>Worley, N Knight</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed Metastatic Melanoma to the Pharyngeal Tonsil in an African American Female</atitle><jtitle>The Ochsner journal</jtitle><addtitle>Ochsner J</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>19</volume><issue>2</issue><spage>181</spage><epage>183</epage><pages>181-183</pages><issn>1524-5012</issn><eissn>1524-5012</eissn><abstract>Metastatic melanoma to the mucosa of the upper aerodigestive tract is extremely rare, accounting for <0.6% of known metastasis to the head and neck region. We present a case of delayed metastatic melanoma to the pharyngeal tonsil.
A 57-year-old African American female presented for evaluation of a rapidly enlarging unilateral tonsil mass. Three years prior to presentation, she had undergone primary resection of and systemic therapy for cutaneous melanoma on the sole of her right foot. Tonsillectomy confirmed the diagnosis of metastatic melanoma. Because of the poor prognosis of the disease, the patient was referred for palliative chemotherapy but died shortly after beginning treatment.
Metastatic melanoma is a rare disease in African Americans, and the presence of metastatic lesions is a significant prognostic indicator for long-term patient survival. Meticulous head and neck examinations should be performed during the follow-up period, and any pigmented lesion should have a high suspicion for metastasis in any patient with a history of cutaneous melanoma.</abstract><cop>United States</cop><pub>Academic Division of Ochsner Clinic Foundation</pub><pmid>31258433</pmid><doi>10.31486/toj.17.0083</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Case Reports and Clinical Observations |
title | Delayed Metastatic Melanoma to the Pharyngeal Tonsil in an African American Female |
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