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

Area of Science:

• Oncology
• Dermatology
• Oral Surgery

Background:

• Malignant melanoma is a growing health issue in the UK.
• Uncontrolled melanocyte division drives melanoma progression and high mortality.
• General dental practitioners are key in early detection and referral.

Purpose of the Study:

• To highlight the role of general dental practitioners in identifying malignant melanoma.
• To present a case of metastatic melanoma mimicking odontogenic pathology.
• To outline diagnostic clues and red flags for urgent melanoma referral.

Main Methods:

• Case report presentation.
• Review of diagnostic criteria for oral melanoma.
• Discussion of referral pathways for suspicious lesions.

Main Results:

• A case of metastatic malignant melanoma presented as odontogenic pathology.
• Timely referral to Oral Surgery was critical for management.
• Specific diagnostic clues were identified.

Conclusions:

• Malignant melanoma can present atypically in the oral cavity.
• Dental practitioners are vital in recognizing and referring potential melanoma cases.
• Prompt identification and management improve patient outcomes.