Abstract
Primary oral malignant melanoma is an extremely rare tumor, representing 0.2% to 8% of all melanomas; accounting for 0.5% of all oral malignancies The prognosis for a patient with oral melanoma is dismal, with a 5-year survival rate of 5% to 20%. A case is reported of a malignant melanoma in the mouth of a 81 year old male. The patient had a history of a continuously growing exophytic hyperplastic mass of a dark color. Histological examination revealed a melanin-producing tumour. Surgery was not offered to our elderly and medically compromised patient. Instead he received radiation therapy as the primary treatment and immunotherapy as the adjuvant treatment.
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