Malignant Melanoma of the Parotid Gland – Primary or Metastatic ?

Usha Rani Singh, KU Chaturvedi, S Bhatta, S Karki, B Kumar
2004 Journal of Nepal Medical Association  
Involvement of the parotid gland by malignant melanoma is rare. Parotid Metastasis from cutaneous melanoma is uncommon. Primary melanoma of the parotid gland is a controversial entity. A diagnosis of parotid gland malignant melanoma should herald a search for a primary skin neoplasm & this may be exceptionally difficult because of the well recognised though uncommon phenomenon of spontaneous regression of the primary melanoma. A 39 years old male presented with progressive painless enlargement
more » ... inless enlargement of the parotid gland over the past seven months. Removal of the parotid gland was possible only on the second attempt. A detailed history revealed excision of a pigmented lesion on the contralateral cheek 20 years back. The tumour was a black heavily pigmented lesion with varied morphology. In spite of low mitotic count there was vascular embolisation. The margins were infiltrative. Patients with parotid gland melanoma have a high incidence of distant spread & significantly worse prognosis, requiring medical surgery.Key Words: Melanoma, Parotid gland.
doi:10.31729/jnma.495 fatcat:jhzyeab7bfa6jcevckzcah2aju