Kołodziejski Leszek, Lobaziewicz Wojciech, Wysocki Wojciech
Kliniki Chirurgii Onkologicznej Centrum Onkologii Instytut im. Marii Sklodowskiej-Curie oddział w Krakowie.
Wiad Lek. 2006;59(11-12):784-9.
The cases of 4 patients with primary skin melanoma, who underwent resection of the small intestine due to the intestinal metastases, are presented. Two patients died as a result of metastases after intestinal resection; the other two have been alive for a year and 10 years without any symptoms of the disease. The presence of the melanoma metastases to the intestine can be suspected in patients with anaemia caused by bleeding into the lumen of an intestine, ileus, rapid weight loss or noticeable tumor in the abdomen. The resection of intestine with metastases should be chosen as a safe method, which allows good palliation; it also offers the chance for a longer life.
本文介绍了4例原发性皮肤黑色素瘤患者因肠道转移而接受小肠切除术的病例。2例患者在肠道切除术后因转移而死亡;另外2例患者分别存活了1年和10年,无任何疾病症状。对于因肠道腔内出血导致贫血、肠梗阻、体重迅速减轻或腹部有明显肿块的患者,应怀疑黑色素瘤已转移至肠道。应选择切除有转移灶的肠道作为一种安全的方法,这种方法能实现良好的姑息治疗效果;同时也为延长生命提供了机会。