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An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms
BACKGROUND: The buccal space is an unusual location of malignancies. We report here the case of a woman with a melanoma metastasis in buccal fat pad, to evaluate the imaging features which might lead to the correct, although uncommon, diagnosis. CASE PRESENTATION: A 71-year-old woman presented with...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7797416/ https://www.ncbi.nlm.nih.gov/pubmed/32772243 http://dx.doi.org/10.1007/s11282-020-00470-x |
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author | Grillo, P. Savoldi, A. P. Di Meo, R. Granata, G. Rodà, G. M. Arrigoni, G. Saibene, A. M. Franceschelli, G. Patella, F. Cariati, M. |
author_facet | Grillo, P. Savoldi, A. P. Di Meo, R. Granata, G. Rodà, G. M. Arrigoni, G. Saibene, A. M. Franceschelli, G. Patella, F. Cariati, M. |
author_sort | Grillo, P. |
collection | PubMed |
description | BACKGROUND: The buccal space is an unusual location of malignancies. We report here the case of a woman with a melanoma metastasis in buccal fat pad, to evaluate the imaging features which might lead to the correct, although uncommon, diagnosis. CASE PRESENTATION: A 71-year-old woman presented with a painless visible swelling of the left cheek. MRI revealed the presence of a solid lesion located in the buccal fat pad with features suggestive of malignancy. It showed T1 hyperintensity and T2 hypointensity, and restriction of diffusion. Histological examination showed neoplastic cells compatible with melanoma. DISCUSSION: The lesion features (T1 hyperintensity and T2 hypointensity) initially lead our team to believe that there was a hemorrhagic component, possibly a residue of the biopsy. However, when associated with other malignancy features, such as low apparent diffusion coefficient (ADC) values and contrast enhancement, they should evoke the suspect of melanoma, provided that no biopsy was performed and no trauma occurred in the 3–7 days before. |
format | Online Article Text |
id | pubmed-7797416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-77974162021-01-21 An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms Grillo, P. Savoldi, A. P. Di Meo, R. Granata, G. Rodà, G. M. Arrigoni, G. Saibene, A. M. Franceschelli, G. Patella, F. Cariati, M. Oral Radiol Case Report BACKGROUND: The buccal space is an unusual location of malignancies. We report here the case of a woman with a melanoma metastasis in buccal fat pad, to evaluate the imaging features which might lead to the correct, although uncommon, diagnosis. CASE PRESENTATION: A 71-year-old woman presented with a painless visible swelling of the left cheek. MRI revealed the presence of a solid lesion located in the buccal fat pad with features suggestive of malignancy. It showed T1 hyperintensity and T2 hypointensity, and restriction of diffusion. Histological examination showed neoplastic cells compatible with melanoma. DISCUSSION: The lesion features (T1 hyperintensity and T2 hypointensity) initially lead our team to believe that there was a hemorrhagic component, possibly a residue of the biopsy. However, when associated with other malignancy features, such as low apparent diffusion coefficient (ADC) values and contrast enhancement, they should evoke the suspect of melanoma, provided that no biopsy was performed and no trauma occurred in the 3–7 days before. Springer Singapore 2020-08-09 2021 /pmc/articles/PMC7797416/ /pubmed/32772243 http://dx.doi.org/10.1007/s11282-020-00470-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Case Report Grillo, P. Savoldi, A. P. Di Meo, R. Granata, G. Rodà, G. M. Arrigoni, G. Saibene, A. M. Franceschelli, G. Patella, F. Cariati, M. An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
title | An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
title_full | An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
title_fullStr | An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
title_full_unstemmed | An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
title_short | An unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
title_sort | unusual case of melanoma metastasis in the buccal space: learning by mistakes to distinguish it from salivary neoplasms |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7797416/ https://www.ncbi.nlm.nih.gov/pubmed/32772243 http://dx.doi.org/10.1007/s11282-020-00470-x |
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