Albert J G, Helmbold P
Hautklinik, Universitätsklinikum Heidelberg.
Dtsch Med Wochenschr. 2012 Mar;137(9):431-6. doi: 10.1055/s-0031-1298947. Epub 2012 Feb 21.
The small bowel harbors metastases of malignant melanoma in 5 % to 72 %, dependent on tumor stage and evidence of intestinal blood loss. Capsule endoscopy is sensitive in detecting small bowel metastasis. Computed tomography, magnetic resonance imaging, and PET-CT demonstrate extraintestinal intraabdominal metastases. Melanoma patients with signs of intestinal blood loss should be endoscopically investigated, including small bowel endoscopy. Selected patients in advanced tumor stage should also undergo small bowel endoscopy to plan a treatment strategy. A resection of intestinal metastases can improve the prognosis, if all metastases are removed.
小肠恶性黑色素瘤转移的发生率为5%至72%,这取决于肿瘤分期和肠道失血证据。胶囊内镜检查在检测小肠转移方面很敏感。计算机断层扫描、磁共振成像和正电子发射断层扫描-计算机断层扫描可显示肠外腹腔内转移。有肠道失血迹象的黑色素瘤患者应接受内镜检查,包括小肠内镜检查。晚期肿瘤阶段的特定患者也应接受小肠内镜检查以制定治疗策略。如果能切除所有转移灶,切除肠道转移灶可改善预后。