Aims: To present a literature review and a case history concerning bon
e and osteoid formation by a metastasizing (mucosal) melanoma, Case de
tails: Osteocartilaginous differentiation and production of osteocarti
laginous structures in malignant melanoma have been described only in
12 previous cases (osteoid in 11, bone in four), all of which involved
dermal melanomas, Five of these melanomas were recurrent and one was
associated with neurofibromatosis, The case report concerns a 75-year-
old man with a nasal mucosal melanoma which was treated surgically, On
e year later, the patient developed a local recurrence and a cervical
lymph node metastasis. Both the recurrent tumour and the metastasis sh
owed clear evidence of bone and osteoid formation. Conclusions: This c
ase is the first report in the literature, clearly demonstrating bone
and osteoid formation by a mucosal melanoma, not only at the primary s
ite, but even more convincingly in a cervical lymph node metastasis.