Oral Melanoacanthoma: A Case Report, a Review of the Literature, and a New Treatment Option

Objectives: Oral melanoacanthoma is a rare condition that presents as a pigmented, painful lesion, most commonly on the buccal mucosa. Argon plasma coagulation is a new treatment option for benign oral lesions and is hypothesized to be efficacious for this rare mucosal disorder. Methods: Treatment o...

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Bibliographic Details
Published in:Annals of otology, rhinology & laryngology rhinology & laryngology, 2005-09, Vol.114 (9), p.677-680
Main Authors: Andrews, Brian T., Trask, Douglas K.
Format: Article
Language:English
Subjects:
Acanthoma - ethnology
Acanthoma - surgery
African Americans
Biological and medical sciences
Biopsy, Fine-Needle
Dendritic Cells - pathology
Electrocoagulation - methods
Follow-Up Studies
Humans
Male
Medical sciences
Melanocytes - pathology
Melanoma - ethnology
Melanoma - surgery
Middle Aged
Mouth Neoplasms - ethnology
Mouth Neoplasms - surgery
Otorhinolaryngology. Stomatology
Treatment Outcome
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Summary:Objectives: Oral melanoacanthoma is a rare condition that presents as a pigmented, painful lesion, most commonly on the buccal mucosa. Argon plasma coagulation is a new treatment option for benign oral lesions and is hypothesized to be efficacious for this rare mucosal disorder. Methods: Treatment of a case and a review of the English-language literature were performed. Results: One patient received a diagnosis of oral melanoacanthoma, and argon plasma coagulation treatment resulted in ablation of the lesion with excellent mucosal healing. A review of the literature demonstrated that this lesion is most commonly associated with black (90.9%), adult female (69.7%) patients and is most commonly located on the buccal mucosa (64.7%). Conclusions: Oral melanoacanthoma is a rare, benign mucosal lesion that may require surgical intervention for symptomatic relief. Argon plasma coagulation is a relatively safe and effective means of treating this lesion. Argon plasma coagulation treatment may be expanded to include other benign, superficial lesions of the oral mucosa.
ISSN:0003-4894
1943-572X
DOI:10.1177/000348940511400904