Metastatic melanoma posing as periapical pathology: key features and learning points

Malignant melanoma is a significant and rising health concern in the United Kingdom. Uncontrolled division of melanocytes caused by mutation underlies progression of the condition, which is associated with high mortality rates. General dental practitioners may serve as the sole regular point of contact with a healthcare professional for some patients and thus are uniquely positioned to identify and urgently refer patients presenting with suspicious symptoms or pathology. We present a case of metastatic malignant melanoma posing as odontogenic pathology, referred to the Oral Surgery Department at the Eastman Dental Hospital. We consider key diagnostic clues and red flags for melanoma indicating the need for urgent referral and management.