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Resection of liver metastases from ocular melanoma remains discussional: an experience with 5 cases
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- Author:
- No author available
- Journal Title:
- Academic Journal of Second Military Medical University
- Issue:
- 9
- DOI:
- 10.3724/SP.J.1008.2012.01035
- Key Word:
- 眼底;黑素瘤;肝肿瘤;肿瘤转移;经导管动脉化疗栓塞术
Abstract： 目的 探讨肝脏转移性黑素瘤手术切除的指征和可行性.方法和结果 回顾2005年1月至2010年12月期间在我院行剖腹探查的5例肝脏转移性恶性黑素瘤患者的临床资料,并结合文献进行分析.5例眼底恶性黑素瘤转移至肝脏的患者,均行激进性手术治疗,术中发现腹腔和肝脏多发转移1例(仅行剖腹探查、肝脏活检术),肝内多发病灶4例(均行姑息性肝脏转移病灶切除术).3例患者同期行围术期肝动脉栓塞化疗治疗.5例患者的预后均不佳,术后的平均生存时间为9.6(3～26)个月.结论 肝脏转移性眼底恶性黑素瘤无法早期发现,且手术指征不明,预后较差,仍是临床上的一项治疗难题.
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