63 y/o male presented with the chief complaint of a palatal lesion that was of about one month’s duration. The patient stated that about a month prior, he had started to notice roughness in his palate. No pain or numbness, no symptoms related to swallowing or speech difficulty. Examination shows no neck nodes or any other symptoms. Lesion was irregular, was flat in some areas and slightly exophytic in others. The color was not uniform. PMH is significant for rhinoplasty in 1985, malignant melanoma of the skin in 2008 successfully treated with surgery. No history of smoking. Could it be Drug-associated hyperpigmentation or Systemic disease or anything else?

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IT'S A..CASE OF.. ? ORAL PIGMENTED LESIONS.. ? INTRA ORAL NAEVI .. ? INTRA ORAL MELANOMA.. HARD PALATE.. NEED'S.. HPE STUDY.. X-RAY STUDY.. CTCE STUDY..

Tnx Dr Ashok Leel sir
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*Metastasis of previous malignant Melanoma Must be rule out . Needs further investigation and evaluation to conclude and treatment plan.

Thanks Dr kute Ankush
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SUGGESTIVE OF POSSIBLY... METASTASES...OF PREVIOUS MALIGNANT. MELANOMA.. NEEDS... FURTHER. EVALUATION

Secondary to Melanoma..× Zqumaous cell carcinoma ). Consult Onchologist..

D/d 1 nevus Melanoma hard palate 2 malignancy to r/o bcc

Thanx dr A Dutta
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Melanoma palate

Probably.secondariese of previously TT melanoma However PT needs histopathological examination

Oral depigmentaion lesion IntraOral nevi Oral melanoma HPE

Ddx: squamous cell carcinoma, Mets from melanoma, pigmented torus palatinus.biopsy to differentiate.

Nodular pigmented lesion on hard palate In a known case of melanoma Suggestive if metastasis from melanoma

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