Abstract
Malignant melanoma of nasal cavity and paranasal sinuses is a rare tumor encountered by ENT surgeons. It is so rare that the majority of ENT surgeons do not see even a single case in their lifetime. This paper is a presentation of a case of 58 yrs old male who came in emergency with massive epistaxis. The patient's history revealed recurrent episodes of nasal bleeding for past 3 months. He also complained of progressively increasing nasal obstruction from left nose for 2 months. Nasal endoscopy was done which revealed a smooth pinkish mass in the left nasal cavity, filling the whole middle meatus, and extending till, just anterior to the choana. The nasal endoscopy on the right side was within normal limits. The histopathological examination gave a conclusive diagnosis of Malignant Melanoma. CT scan of PNS confirmed the finding of a localized mass in left nasal cavity with limited extension.
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