Prietzel T, Haferkorn I, Macher A, Schumann E, von Salis-Soglio G, Aigner T
Orthopädische Klinik und Poliklinik, Universität, Liebigstrasse 20, 04103, Leipzig, Deutschland.
Orthopade. 2009 Mar;38(3):278-82. doi: 10.1007/s00132-009-1409-7.
Bone metastases are found in 29% of patients with metastatic malignant choroidal melanoma, which is associated with poor prognosis. However there are several reports about prolonged survival. The unusual case of a patient is described, who suffered from a melanoma with orbital invasion and survived more than 18 years. Metastases were found 12 years after initial therapy. Three palliative operations made a survival of further 7 years with high quality of life possible. Therefore moderately palliative operations are recommended in case of metastatic malignant choroidal melanoma.
在转移性恶性脉络膜黑色素瘤患者中，29%会发生骨转移，这与预后不良相关。然而，有几篇关于生存期延长的报道。本文描述了一例不寻常的病例，该患者患有眼眶侵袭性黑色素瘤，存活了18年以上。初始治疗12年后发现转移。三次姑息性手术使患者又存活了7年，且生活质量较高。因此，对于转移性恶性脉络膜黑色素瘤患者，建议进行适度的姑息性手术。
