The Journal of International
Advanced Otology
Case Report

Mucosal Melanoma of Eustachian Tube: A Case Report


Department of Otolaryngology–Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University Faculty of Medicine, Seoul, Korea


Department of Otolaryngology-Head and Neck Surgery, Jeju Medical Center, Jeju University Faculty of Medicine, Jeju, Korea

J Int Adv Otol 2022; 18: 455-458
DOI: 10.5152/iao.2022.21573
Read: 1498 Downloads: 384 Published: 01 September 2022

Mucosal melanoma originating from the eustachian tube is very rare, and only 15 cases were reported so far. In this study, we report a case of mucosal melanoma from the eustachian tube which was surgically managed, followed by chemoradiotherapy. A 53-year-old man presented with a history of recurrent idiopathic hemotympanum and a dark red mass in the nasopharynx protruding from the eustachian tube orifice. Under an impression of mucosal melanoma from the eustachian tube, en-bloc surgical removal was performed using the infratemporal fossa approach type C combined with a transnasal endoscopic approach followed by postoperative chemoradiotherapy. However, the disease progressed to lung metastasis, and the patient died of the disease at 13 months postoperatively. The presenting case showed a poor progression despite a margin-free surgical resection followed by chemoradiotherapy. Additional trial of new treatment options is necessary to improve the poor prognosis.

Cite this article as: Kang YJ, KIm MB, Hong SD, Cho Y-S. Mucosal melanoma of eustachian tube: A case report. J Int Adv Otol. 2022;18(5):455-458.

EISSN 2148-3817