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J Cutan Med Surg. 2010 Jan-Feb;14(1):43-5.

Tonsil metastasis from cutaneous melanoma: first clinical sign of recurrence after complete lymph node dissection.

Author information

1
Department of Dermatology, Pistoia Hospital, Pistoia, Italy. r.cecchi@usl3.toscana.it

Abstract

BACKGROUND:

The development of melanoma metastasis to the palatine tonsil is a very rare event, generally associated with advanced-stage disease and poor prognosis.

CASE PRESENTATION:

A 29-year-old man presented with a melanoma metastasis to the right palatine tonsil 6 months after the surgical excision of an ulcerated nodular melanoma (tumor thickness 1.8 mm, Clark level IV) on the left shoulder. A metastatic sentinel lymph node had been removed from the left axilla, and a subsequent complete lymph node dissection had disclosed no further metastatic lymph nodes. Although staging tests had revealed multiple visceral metastases, a palliative tonsillectomy was performed. The patient died of metastases 5 months later.

CONCLUSION:

The case presentation suggests that careful examination of the head and neck should be part of the routine follow-up visit in all melanoma patients.

PMID:
20128991
DOI:
10.2310/7750.2009.08084
[Indexed for MEDLINE]

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