Clinical characteristics of patients with perineural spread of malignant melanoma
Patient no. | Age (years)/Sex | Risk Factors | Original Presenting Lesion | Time to Develop Clinical Neuropathy | Pathology | Delay in Diagnosis of Perineural Disease | Cranial Neuropathies | Biopsy | Years of Follow-Up | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
1 | 59/M | Lentigo maligna | Mass on lower lip | 11 years | Mucosal | 13 months | V2, V3, VII | Mandibular nerve | 4 | AWD |
2 | 29/M | None known | Mass on lower lip | 3 years | Desmoplastic | 1 month | V3 | Inferior alveolar nerve | 5 | AWD |
3 | 78/M | Lentigo maligna | Pigmented lesion over left forehead | 1.5 years | Desmoplastic | 10 months | III, IV, V1, VI, VII | Supraorbital nerve, CT-FNA | 2 | DOD |
4 | 41/F | None | Right nasopharyngeal mass | 3 years | Mucosal | N/A | V1, V2, VI, VII | Infraorbital nerve | 1 month | Unknown |
5 | 70/F | Family history of melanoma | Mass over right nose | 2.5 years | Desmoplastic | 6 months | III, IV, V, VI, VII, VIII, IX, X, XI, XII | Infraorbital nerve, CT-FNA | 5 | DOD |
6 | 49/F | None | Mass on upper lip | 3 years | Desmoplastic | 1 month | V2 | Infraorbital nerve | 1 | AWD |
7 | 70/F | Lentigo maligna | Left supraorbital skin mass | 12 years | Spindle-cell | 11 months | III, V1, VI | Supraorbital nerve | 2 | DOD |
8 | 64/M | None | Left infraorbital skin mass | 3 years | Desmoplastic | 8 months | V1, V2 | Infraorbital nerve | 2 | DOD |
Note.—AWD, alive with disease; DOD, dead of disease; N/A, not applicable.