Malignant Melanoma Treated by Laser Surgery and Radiation;:A Case Report

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We present a case of oral malignant melanoma, which was treated by CO2laser surgery and radiation, and which has been controlled over seven years after the treatment. A 78-year-old female visited our hospital with a complaint of a black tumor in the upper molar region, September 20th, 1985. She noticed a swelling 2 months ago. At the first visit we observed a well defined pigmented mass, 20×30mm in size, in the left upper molar alveolar region, and several pigmented spots in the median part of the hard palate and the left buccal mucosa. We made a diagnosis of malignant melanoma and began a linac X-ray irradiation. When the radiation dose was 26Gy, we excised and vaporized the lesion including the bone of alveolar process and palate, pigmented spots of the palate and buccal mucosa using CO2 laser. Then we continued the radiotherapy and finished it total 60Gy. There is no recurrence or metastases over seven years after the treatment.
日本レーザー歯学会の論文