title: [Mucous malignant melanoma of the neck and face. Experience at the Salah Azaiz Institute (Tunis)].
abstract: The mucosal melanoma of the head and neck is rare and of late diagnosis. This retrospective study concerns 17 cases brought together in 30 years. Sex-ratio was of 1.1, the average age of 58 years. Tumoral seats were the following ones: nasal cavity and paranasal sinus (n = 10), nasopharyngeal cavity (n = 2), gingival seat (n = 2), palate (n = 1), laryngeal seat (n = 1), middle ear (n = 1). Tumoral extension was classified an follows: stage I: 52.9%, stage II: 17.6%, stage III: 29.4%. Melanomas were achromic in 23.5% of cases. On the therapeutic plan, 47.1% of the patients were treated in a purpose palliative because of the importance of the tumoral extension. Seven patients (41.2%) were treated surgically; three among them received an additional radiotherapy for an insufficient tumoral excision or adenopathy in break capsular. Two patients (11.8%) were treated by exclusive radiotherapy. The rates of survival were 17.6% in 2 years, and 5.9% in 5 years. The average duration of survival was of 18.1 months. The causes of failure were essentially local and metastatic.
authors.affiliation: Institut Salah Azaiz, Service de Chirurgie Carcinologique Maxillo-Faciale et Oto-Rhino-Laryngologique, Tunis, Tunisie.
authors.forename: Z
authors.initials: Z
authors.lastname: Oueslati
authors.forename: S
authors.initials: S
authors.lastname: Touati
authors.forename: S
authors.initials: S
authors.lastname: Gritli
authors.forename: A
authors.initials: A
authors.lastname: el-May
authors.forename: F
authors.initials: F
authors.lastname: Benna
authors.forename: H
authors.initials: H
authors.lastname: Boussen
authors.forename: A
authors.initials: A
authors.lastname: el-Khedim
authors.forename: M
authors.initials: M
authors.lastname: Ferjaoui
authors.forename: A
authors.initials: A
authors.lastname: Ladgham
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006258:Head and Neck Neoplasms / Q000628:therapy*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000628:therapy*; D008875:Middle Aged; D012189:Retrospective Studies; D014416:Tunisia
vernacular_title: Mélanomes malins muqueux cervico-faciaux. Expérience de l'Institut Salah Azaiz (Tunis).