A review of oral malignant melanoma and data of eight patients are pre
sented. The dismal prognosis of the condition is probably mainly due t
o its long, 'silent' course. In one-third of cases melanosis precedes
the tumour - it is this condition that should alert clinicians. Theref
ore, pigmented oral lesions should be viewed with suspicion and biopsy
is mandatory when the clinical diagnosis is uncertain. Early detectio
n is essential to successful treatment. In spite of aggressive treatme
nt modalities, survival in patients with advanced stage disease remain
s poor.