Cutaneous Melanoma with Tonsillar Metastasis: Treatment with Cryoablation.

Metastasis of cutaneous melanoma to the oral cavity is a rare condition. Male patient with cutaneous melanoma metastasis to right tonsil 2 years after radical skin lesion resection was treated with surgery: tonsillectomy and later resection of soft palate were performed. Two years later the patient was diagnosed with progressive disease to right tonsil and soft palate. Rapid inoperable relapse was detected six months later. The patient underwent two procedures of palliative cryoablation of the metastasis. Postoperative course was uneventful. Patient died 7 months later due to progression of the disease. Cryoablation alone or together with surgery may be a relatively safe option for treatment of inoperable disease of head and neck tumours.

[Rehabilitation possibilities of the post-resection defects of facial bones and surrounding soft tissues in cancer patients (review of the literature)]. / Onkologinemis ligomis serganciu ligoniu veido kaulu ir aplinkiniu minkstuju audiniu porezekciniu defektu gydymo galimybes (literaturos apzvalga).

The review of the scientific literature, concerning contemporary treatment methods and materials of the post-resection defects of facial bones and surrounding soft tissues in cancer patients is presented in this article. The aloplastic endoprostheses, removable post-resection intraoral prostheses, fixed on implants and ectoprostheses, which are reconstructing the defects of soft facial tissues, are analysed more broadly. The advantages and leaks of these treatment methods are discussed, taking into account the problems, which are faced by the patients after the surgical and radiological treatment of malignant tumours of face and jaws. According to the data of Institute of Oncology, Vilnius University and Kaunas Medical University Clinics, from the beginning of the 1999 till the end of the 2000, 63 patients needed the rehabilitation after the treatment of the malignant tumours of face and jaws.