Oral Amalgam Tattoo Mimicking Melanoma

A 49-year-old woman without a personal or family history of melanoma presented with an asymptomatic pigmented lesion on her tongue that was suggestive of oral melanoma. The patient reported that she had undergone a dental procedure 3 months before the appearance of the lesion. A 49-year-old woman wi...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 374; no. 17; p. e21
Main Authors Vera-Kellet, Cristián, Del Barrio-Díaz, Pablo
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 28.04.2016
Subjects
Case reports
Melanoma
Mimicry
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Summary:A 49-year-old woman without a personal or family history of melanoma presented with an asymptomatic pigmented lesion on her tongue that was suggestive of oral melanoma. The patient reported that she had undergone a dental procedure 3 months before the appearance of the lesion. A 49-year-old woman without a personal or family history of melanoma presented to the dermatology clinic with an asymptomatic pigmented lesion on the ventral surface of her tongue. The lesion, which had been present for 4 months, was suggestive of oral melanoma. The patient reported no trauma and no alcohol or cigarette use. However, she did report that she had undergone a dental restoration procedure 3 months before the appearance of the lesion. Physical examination revealed an asymmetric, brownish-gray pigmented macule, measuring 1.0 cm by 1.2 cm in the greatest dimensions, with a central area of regression (Panel A; the . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1510216