日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
上顎歯肉無色素性悪性黒色腫の1例
渋谷 恭之吉川 朋宏梅田 正博李 進彰寺延 治島田 桂吉
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1998 年 44 巻 10 号 p. 814-816

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A rare case of amelanotic malignant melanoma of the maxillary gingiva is reported. A 52-year-old man was referred to our hospital because of swelling of the maxillary gingiva. A clinical examination revealed a 14×10 mm amelanotic nodule of the 5 6 region with swelling of the cervical lymph nodes. The histologic diagnosis of a biopsy specimen was spindle cell carcinoma or suspicion of sarcoma. The patient underwent partial maxillectomy and radical neck dissection. Histologic examination of the resected specimen revealed spindle and polygonal tumor cells with no apparent melanin. There was metastasis to three cervical nodes. These tumor cells showed a positive reaction with anti-S100 protein and anti-HMB45 monoclonal antibodies, and a final diagnosis of amelanotic malignant melanoma was made. The patient is free of tumor as of 13 months after the operation.

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