Lykke Jakob, Hansen Mark Berner, Ovesen Henrik, Meisner Søren
H:S Bispebjerg Hospital, Kirurgisk Gastroenterologisk Afdeling K.
Ugeskr Laeger. 2006 Oct 9;168(41):3533-4.
We report a case of a 74-year-old man with a Clark's level II, 2.5 mm melanoma on his back that was excised. A post-operative PET scan found no lesions. One and a half years later, the patient developed anaemia with blood in his stool. A gastroscopy and colonoscopy found no lesions. Video capsule endoscopy, however, detected a tumour in the small intestine. At laparotomy, the tumour was removed. Histological diagnosis showed metastatic malignant melanoma. We believe that video capsule endoscopy may increase the rate of diagnosis of small-bowel melanoma metastases.
我们报告一例74岁男性患者，其背部有一处Clark分级为II级、大小为2.5毫米的黑色素瘤，已行切除。术后PET扫描未发现病变。一年半后，患者出现贫血且大便带血。胃镜和结肠镜检查均未发现病变。然而，视频胶囊内镜检查发现小肠有肿瘤。在剖腹手术中，该肿瘤被切除。组织学诊断显示为转移性恶性黑色素瘤。我们认为视频胶囊内镜检查可能会提高小肠黑色素瘤转移的诊断率。
