Management of Sinonasal Melanoma: Case Report

Authors: Mohamed Ait Erraisse*, KaoutarSoussy, Moulay Ali Youssoufi and Khalid Hassouni

DOI: 10.23880/ijnmrs-16000107

Volume 1, Issue 2

Abstract

patient aged of 70 years old presented a 6 months history of a right nasal bleeding and blockage. He was diagnosed with mucosal malignant melanoma. Loco regional extension in the CT and MRI showed involvement of the frontal sinus, sphenoidal sinus and suspected involvement of the medial wall of the orbit. He had surgical excision with removal of the tumor. Given the positive margins, adjuvant radiotherapy was indicated. The radiotherapy was delivered with intensity modulated radiation therapy (IMRT) technique in order to overcome anatomical complexity of the region, cover the tumor bed and preserve the organs at risk. Despite advances in techniques, there is still no impact on the overall survival.

Keywords: Melanoma; Sinus; Paranasal; Radiotherapy; IMRT

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