You Position: Home > Paper
Clinical analysis of primary malignant melanoma of digestive tract
( views:311, downloads:148 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1671-0274.2003.01.007
- Key Word:
- 黑色素瘤;消化道;分析
Abstract： 目的总结原发性消化道黑色素瘤的临床特点.方法回顾性分析我院近 10年住院治疗的 8例原发性消化道黑色素瘤临床资料并复习文献.结果 8例原发性消化道黑色素瘤中,原发灶位于直肠 6例、小肠 1例、食管 1例,除 1例直肠黑色素瘤术前得到确诊外,其余 7例均被误诊.直肠黑色素瘤以便血、肛门疼痛和排便困难为主要症状;多表现为息肉样,均位于距齿状线以上 5 cm以内;少有色素沉着.小肠黑色素瘤以梗阻、腹痛、贫血为主要症状;造影和 CT有助于发现病变,但确诊仍需病理学.食管黑色素瘤多为黏膜下;胃镜可发现色素沉着;病理活检可协助诊断.结论 原发性消化道黑色素瘤的临床表现与其他肿瘤类似,极易误诊.病理活检是确诊的主要手段.
- [1]柳建中,张立飞,曾宪东,等.肛管直肠恶性黑色素瘤33例[J].1996,(11).
- [2]Dana L. Sachs,Lori Lowe,Alfred E. Chang,etc.Do primary small intestinal melanomas exist? Report of a case[J].1999,41(6).
- [3]袁兴华,邵永孚,郑朝旭,等.原发性肛管直肠恶性黑色素瘤29例诊治体会[J].1999,(4).
- [4]Daniel Blecker,Susan Abraham,Emma E Furth,etc.Melanoma in the gastrointestinal tract[J].1999,94(12).
- [5]M A, Weinstock.Epidemiology and prognosis of anorectal melanoma.[J].1993,104(1).
- [6]A M, Elsayed,M, Albahra,U C, Nzeako,etc.Malignant melanomas in the small intestine: a study of 103 patients.[J].1996,91.
- [7]Tatsuya Mikami,Shinsaku Fukuda,Tadashi Shimoyama,etc.A case of early-stage primary malignant melanoma of the esophagus[J].2001,53(3).
- [8]K, Kanamoto,K, Aoyagi,S, Nakamura,etc.The value of endoscopic ultrasonography in primary malignant melanoma of the esophagus.[J].1997,46(1).