Pigmented Oral lesion

A 35-year-old female presented with a pigmented lesion in her oral cavity that had been present for 4 months. She reported associated oral pain and swelling in neck for 1 month. Family history was not significant. On examination, there was a 6x3.5 cm lesion involving the right lower alveolus, gingivo-buccal sulcus, and extending to buccal mucosa (Figure 1). Multiple neck nodes were palpable in level Ib, II, III with largest 2.5x2cm in Ib. 

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References:
1. Manigandan T, Sagar GV, Amudhan A, Hemalatha VT, Babu NA. Oral malignant melanoma: A case report with review of literature. Contemp Clin Dent 2014;5:415-8. 
2. Lopez F, Rodrigo JP, Cardesa A, Triantafyllou A, Devaney KO, Mendenhall WM, et al. Update on primary head and neck mucosal melanoma. Head and Neck 2014 Accepted Article : doi: 10.1002/hed.23872

Biography
Dr. Rathi is pursuing his residency in M.S(Otolaryngology, Head & Neck Surgery) at Post graduate institute of medical education and research (P.G.I.M.E.R) located at Chandigarh, India. He completed his undergraduate studies at Osmania Medical College, located at Hyderabad, India.