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Metastatic Melanoma to the Ethmoid Sinus

Metastatic Melanoma to the Ethmoid Sinus Abstract • Malignant melanomas comprise approximately 1.5% of all malignant tumors and one fifth of these will involve the head and neck. The surgeon who operates in this region should be familiar with all aspects of this disease. The most common site of metastasis to the nose and paranasal sinuses is via the maxillary sinus. Often these metastases are of renal origin, with pulmonary metastases being the second most common source. The most frequent presenting symptoms are epistaxis, a nasal mass, or nasal obstruction. Review of the English literature to date has not revealed any reports of isolated metastatic melanoma to the ethmoid sinus. Batson, in 1940, proposed a plausible mechanism of such hematogenous metastasis via a valveless vertebral venous bed. (Arch Otolaryngol Head Neck Surg 1986;112:664-667) References 1. McDonald EJ: Incidence and epidemiology of malignant melanoma in Texas , in Neoplasms of the Skin and Malignant Melanoma . Chicago, Year Book Medical Publishers, 1976, pp 279-292. 2. Allen AA, Spitz S: Malignant melanoma: A clinicopathological analysis for diagnosis and prognosis . Cancer 1953;6:1-45.Crossref 3. Plishin ME, Mastrangelo MJ, Brown AM, et al: Metastatic melanoma of the maxilla presenting as gingival swelling . Oral Surg 1976;41:101-104.Crossref 4. Simons JN: Malignant melanoma of the head and neck . Am J Surg 1972;124:485-488.Crossref 5. Seigler HF: Melanoma . Adv Surg 1980; 14:231-257. 6. O'Rourke MG, Louie A: Metastases in malignant melanoma . Aust NZ J Surg 1982; 52:154-157.Crossref 7. Lee YN: Malignant melanoma: Pattern of metastases . CA 1980;30:137-142. 8. Einhorn LH, Burgess MA, Vallejos C, et al: Prognostic correlations and response to treatment in advanced metastatic melanoma . Cancer Res 1974;34:1995-2004. 9. Patel JK, Didolkar MS, Pickren JW, et al: Metastatic pattern of malignant melanoma . Am J Surg 1978;135:807-810.Crossref 10. Bernstein JM, Montgomery WW, Balogh K: Metastatic tumors to the maxilla, nose and paranasal sinuses . Laryngoscope 1966;76:621-650.Crossref 11. Friedmann I, Osborn DA: Metastatic tumours in the ear, nose and throat region . J Laryngol Otol 1965;79:576-591.Crossref 12. Batson OV: The function of the vertebral veins and their role in the spread of metastases . Ann Surg 1940;112:138-153.Crossref 13. Woodburne RT: Essentials of Human Anatomy . New York, Oxford University Press, 1973, pp 443-444. 14. Batsakis JG, Regezi JA, Solomon AR, et al: The pathology of head and neck tumors: Mucosal melanomas, part 13 . Head Neck Surg 1982;4:404-418.Crossref 15. Gallagher JC: Upper respiratory melanoma pathology and growth rate . Ann Otol Rhinol Laryngol 1970;79:531-556. 16. Lund V: Malignant melanoma of the nasal cavity and paranasal sinuses . J Laryngol Otol 1982;96:347-355.Crossref 17. Holdcraft J, Gallagher JC: Malignant melanoma of the nasal and paranasal sinuses . Ann Otol Rhinol Laryngol 1969;78:5-20. 18. Clark WH, From L, Bernardino EA, et al: The histiogenesis and biologic behavior of primary human malignant melanoma of the skin . Cancer Res 1969;29:705-715. 19. Breslow A: Thickness, cross-sectional areas and depth of invasion in the prognosis of cutaneous melanoma . Ann Surg 1970;172:902-908.Crossref 20. Day CL, Soker AJ, Kopf AW, et al: A prognostic model for clinical stage I melanoma to the trunk . Am J Surg 1981;142:247-251.Crossref 21. Terz JJ, Young HF, Lawrence W: Combined craniofacial resection of locally advanced carcinoma of the head and neck . Am J Surg 1980;140:618-624.Crossref 22. Bridger GP: Radical surgery for ethmoid cancer . Arch Otolaryngol 1980;106:630-634.Crossref 23. Conley J, Pack GT: Melanoma of the mucus membranes of the head and neck . Arch Otolaryngol Head Neck Surg 1974;99:315-319.Crossref 24. Habermalz HJ, Fisher JJ: Radiation therapy of malignant melanoma: Experience with high individual treatment doses . Cancer 1976;38:2258-2262.Crossref 25. Hornsey S: The relationship between total dose, number of fractions and fraction size in the response of malignant melanoma in patients . Br J Radiol 1978;51:905-909.Crossref 26. Overgaard J: Radiation treatment of malignant melanoma . Int J Radial Oncol Biol Phys 1980;6:41-44.Crossref 27. Lobo PA, Liebner EJ, Chao JJ, et al: Radiotherapy in the management of malignant melanoma . Int J Radiat Oncol Biol Phys 1981;7:21-26.Crossref 28. Meyer JE, Rogers WP, Leiter B: Metastatic melanoma involving the left maxillary antrum . J Laryngol Otol 1979;93:1011-1013.Crossref 29. Carbone PP, Costello W: Eastern cooperative group studies with DTIC (NCS-45388) . Cancer Treat Rep 1976;60:193-198. 30. Seigler HF, Lucas VS, Picket NJ, et al: DTIC, CCNU, bleomycin and vincristine (BOLD) in metastatic melanoma . Cancer 1980;46:2346-2348.Crossref 31. Balch CM, Soong SJ, Murad TM, et al: A multifactorial analysis of melanoma: Part II . Surgery 1979;86:343-351. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1986.03780060076012
Publisher site
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Abstract

Abstract • Malignant melanomas comprise approximately 1.5% of all malignant tumors and one fifth of these will involve the head and neck. The surgeon who operates in this region should be familiar with all aspects of this disease. The most common site of metastasis to the nose and paranasal sinuses is via the maxillary sinus. Often these metastases are of renal origin, with pulmonary metastases being the second most common source. The most frequent presenting symptoms are epistaxis, a nasal mass, or nasal obstruction. Review of the English literature to date has not revealed any reports of isolated metastatic melanoma to the ethmoid sinus. Batson, in 1940, proposed a plausible mechanism of such hematogenous metastasis via a valveless vertebral venous bed. (Arch Otolaryngol Head Neck Surg 1986;112:664-667) References 1. McDonald EJ: Incidence and epidemiology of malignant melanoma in Texas , in Neoplasms of the Skin and Malignant Melanoma . Chicago, Year Book Medical Publishers, 1976, pp 279-292. 2. Allen AA, Spitz S: Malignant melanoma: A clinicopathological analysis for diagnosis and prognosis . Cancer 1953;6:1-45.Crossref 3. Plishin ME, Mastrangelo MJ, Brown AM, et al: Metastatic melanoma of the maxilla presenting as gingival swelling . Oral Surg 1976;41:101-104.Crossref 4. Simons JN: Malignant melanoma of the head and neck . Am J Surg 1972;124:485-488.Crossref 5. Seigler HF: Melanoma . Adv Surg 1980; 14:231-257. 6. O'Rourke MG, Louie A: Metastases in malignant melanoma . Aust NZ J Surg 1982; 52:154-157.Crossref 7. Lee YN: Malignant melanoma: Pattern of metastases . CA 1980;30:137-142. 8. Einhorn LH, Burgess MA, Vallejos C, et al: Prognostic correlations and response to treatment in advanced metastatic melanoma . Cancer Res 1974;34:1995-2004. 9. Patel JK, Didolkar MS, Pickren JW, et al: Metastatic pattern of malignant melanoma . Am J Surg 1978;135:807-810.Crossref 10. Bernstein JM, Montgomery WW, Balogh K: Metastatic tumors to the maxilla, nose and paranasal sinuses . Laryngoscope 1966;76:621-650.Crossref 11. Friedmann I, Osborn DA: Metastatic tumours in the ear, nose and throat region . J Laryngol Otol 1965;79:576-591.Crossref 12. Batson OV: The function of the vertebral veins and their role in the spread of metastases . Ann Surg 1940;112:138-153.Crossref 13. Woodburne RT: Essentials of Human Anatomy . New York, Oxford University Press, 1973, pp 443-444. 14. Batsakis JG, Regezi JA, Solomon AR, et al: The pathology of head and neck tumors: Mucosal melanomas, part 13 . Head Neck Surg 1982;4:404-418.Crossref 15. Gallagher JC: Upper respiratory melanoma pathology and growth rate . Ann Otol Rhinol Laryngol 1970;79:531-556. 16. Lund V: Malignant melanoma of the nasal cavity and paranasal sinuses . J Laryngol Otol 1982;96:347-355.Crossref 17. Holdcraft J, Gallagher JC: Malignant melanoma of the nasal and paranasal sinuses . Ann Otol Rhinol Laryngol 1969;78:5-20. 18. Clark WH, From L, Bernardino EA, et al: The histiogenesis and biologic behavior of primary human malignant melanoma of the skin . Cancer Res 1969;29:705-715. 19. Breslow A: Thickness, cross-sectional areas and depth of invasion in the prognosis of cutaneous melanoma . Ann Surg 1970;172:902-908.Crossref 20. Day CL, Soker AJ, Kopf AW, et al: A prognostic model for clinical stage I melanoma to the trunk . Am J Surg 1981;142:247-251.Crossref 21. Terz JJ, Young HF, Lawrence W: Combined craniofacial resection of locally advanced carcinoma of the head and neck . Am J Surg 1980;140:618-624.Crossref 22. Bridger GP: Radical surgery for ethmoid cancer . Arch Otolaryngol 1980;106:630-634.Crossref 23. Conley J, Pack GT: Melanoma of the mucus membranes of the head and neck . Arch Otolaryngol Head Neck Surg 1974;99:315-319.Crossref 24. Habermalz HJ, Fisher JJ: Radiation therapy of malignant melanoma: Experience with high individual treatment doses . Cancer 1976;38:2258-2262.Crossref 25. Hornsey S: The relationship between total dose, number of fractions and fraction size in the response of malignant melanoma in patients . Br J Radiol 1978;51:905-909.Crossref 26. Overgaard J: Radiation treatment of malignant melanoma . Int J Radial Oncol Biol Phys 1980;6:41-44.Crossref 27. Lobo PA, Liebner EJ, Chao JJ, et al: Radiotherapy in the management of malignant melanoma . Int J Radiat Oncol Biol Phys 1981;7:21-26.Crossref 28. Meyer JE, Rogers WP, Leiter B: Metastatic melanoma involving the left maxillary antrum . J Laryngol Otol 1979;93:1011-1013.Crossref 29. Carbone PP, Costello W: Eastern cooperative group studies with DTIC (NCS-45388) . Cancer Treat Rep 1976;60:193-198. 30. Seigler HF, Lucas VS, Picket NJ, et al: DTIC, CCNU, bleomycin and vincristine (BOLD) in metastatic melanoma . Cancer 1980;46:2346-2348.Crossref 31. Balch CM, Soong SJ, Murad TM, et al: A multifactorial analysis of melanoma: Part II . Surgery 1979;86:343-351.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jun 1, 1986

References