Balloon cell nevus of the pharynx.
BACKGROUND
Mucosal melanotic lesions are rare, and the still rarer balloon cell variant has not been reported in the upper aerodigestive tract mucosa. We report a case of balloon cell nevus of the pharynx.


METHODS
A 35-year-old woman was seen with complaints of a black color in her mouth. Physical examination revealed a diffusely pigmented posterior pharyngeal wall. The pigmentation extended superiorly to the posterior edge of the palate, and laterally, it stopped short of the posterior tonsillar pillars. The overlying mucosa was smooth, with no swelling. Flexible endoscopy showed that the lesion extended to the cricopharynx. Findings on histopathologic examination were consistent with balloon cell nevus of the pharynx. Complete excision was not possible, because the lesion was very diffuse.


RESULTS
After 2 years of conservative management and regular follow-up examinations, no change in the symptoms and no increase in the lesion have been seen.


CONCLUSIONS
Melanotic lesions in the upper aerodigestive tract mucosa are rare. This case is reported for its rarity, unusual presentation, and characteristic histopathologic features.
Gulati
Achal
A
Department of ENT, Maulana Azad Medical College & Associated Hospitals, New Delhi 110002, India.
Singhal
Deepti
D
Lal
Devyani
D
Agarwal
A K
AK
D000328:Adult; D001706:Biopsy; D005260:Female; D006801:Humans; D009092:Mucous Membrane / Q000473:pathology; D009508:Nevus, Pigmented / Q000175:diagnosis* / Q000473:pathology; D010610:Pharyngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014057:Tomography, X-Ray Computed