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Primary mucosal melanoma of the head and neck (HNMM) is a rare tumor that is reported to comprise 0. pp couple anime ber 3 7% of all malignant melanomas 1 Unlike cutaneous melanomas, to our knowledge little is known regarding etiologic factors or race predilection in HNMM and the median age of patients is typically 20 years later than for cutaneous melanoma 1, 2 Mucosal melanomas are considered aggressive tumors