Duhra P, Ilchyshyn A
Skin Department, Coventry and Warwickshire Hospital, UK.
Clin Exp Dermatol. 1991 Jul;16(4):303-5. doi: 10.1111/j.1365-2230.1991.tb00383.x.
A metastatic malignant melanoma presenting with axillary lymphadenopathy and without a detectable primary lesion is described in a 66-year-old woman. Extensive vitiligo developed 6 years after this diagnosis. There has been no recurrence of melanoma for 10 years following surgical resection of the lymph nodes. The significance of vitiligo and an elusive primary lesion to the favourable prognosis in metastatic malignant melanoma is discussed.
一名66岁女性被诊断为转移性恶性黑色素瘤，伴有腋窝淋巴结病，但未发现原发性病变。在该诊断6年后出现了广泛的白癜风。淋巴结手术切除后10年，黑色素瘤未复发。本文讨论了白癜风和隐匿性原发性病变对转移性恶性黑色素瘤良好预后的意义。
