梗阻性黄疸作为 Vater 壶腹转移性恶性黑色素瘤的首发临床表现。

Obstructive jaundice as the first clinical manifestation of a metastatic malignant melanoma in the ampulla of vater.

作者信息

Caballero-Mendoza E, Gallo-Reynoso S, Arista-Nasr J, Angeles-Angeles A

机构信息

Department of Pathology, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.

出版信息

J Clin Gastroenterol. 1999 Sep;29(2):188-9. doi: 10.1097/00004836-199909000-00017.

DOI:10.1097/00004836-199909000-00017

PMID:10478883

Abstract

The authors report a patient with obstructive jaundice as the first clinical manifestation of a primary malignant melanoma metastatic in the ampulla of Vater. After the histologic diagnosis of the metastases was made, the primary tumor was located in the skin of the back. Obstruction jaundice secondary to ampullary obstruction due to metastatic melanoma has only been reported twice, and in neither case was jaundice the first symptom of the disease.

摘要

作者报告了一例以梗阻性黄疸为首发临床表现的患者，其原发性恶性黑色素瘤转移至壶腹。在对转移灶进行组织学诊断后，发现原发肿瘤位于背部皮肤。转移性黑色素瘤导致壶腹梗阻继发的梗阻性黄疸仅被报道过两次，且在这两例中黄疸均不是该疾病的首发症状。