title: [Primary malignant melanoma of the nasal cavity presenting as a large tumor of the cheek].
abstract: BACKGROUND
  Malignant melanoma of the nasal cavity is a rare tumor usually causing unilateral nasal obstruction and nasal bleeding. Diagnosis is achieved with immunohistochemistry analysis. Surgery is proposed for curative treatment.
  
  
  METHODS
  We report the case of a 60-year-old man with a malignant melanoma of the nasal cavity revealed by an important tumor of the cheek. Epistaxis and nasal obstructive syndrome occurred later. Because of the tumor stage, palliative chemotherapy was performed but the patient died 4 months after the diagnosis.
  
  
  CONCLUSIONS
  This clinical presentation of malignant melanoma of the nasal cavity, related to local spreading, is exceptional. CT scan and MRI are essential for tumor staging and therapeutic decision-making. Prognosis remains poor.
authors.affiliation: Service de Chirurgie Maxillo-faciale et Plastique de la Face, Hôpital Charles Nicolle, Tunis, Tunisie. bouguila_jed@yahoo.fr
authors.forename: J
authors.initials: J
authors.lastname: Bouguila
authors.forename: I
authors.initials: I
authors.lastname: Zairi
authors.forename: Y
authors.initials: Y
authors.lastname: Jablaoui
authors.forename: S
authors.initials: S
authors.lastname: Haddad
authors.forename: M
authors.initials: M
authors.lastname: Hellali
authors.forename: E
authors.initials: E
authors.lastname: Azzouz
authors.forename: M
authors.initials: M
authors.lastname: Moustafa
authors.forename: A
authors.initials: A
authors.lastname: Adouani
mesh_terms: D002610:Cheek / Q000473:pathology; D004844:Epistaxis / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008545:Melanoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D008875:Middle Aged; D009296:Nasal Cavity / Q000473:pathology*; D015508:Nasal Obstruction / Q000209:etiology; D009669:Nose Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D010166:Palliative Care