Shpitz B, Kaufman Z, Gildor A, Dinbar A
Dept. of General Surgery B, Meir Hospital, Kfar Saba.
Harefuah. 1990 Dec 2;119(11):364-5.
2 cases of metastasis of malignant melanoma to the small bowel presenting as surgical emergencies due to obstruction, are reported. In both cases there was no other evidence of metastatic spread at the time of surgery. Segmental resection of involved bowel was performed, providing satisfactory palliation. This reinforces the opinion that surgical resection of symptomatic metastases of malignant melanoma to the small bowel is justified, despite the poor prognosis of the disease itself.
报告了2例恶性黑色素瘤转移至小肠,因肠梗阻而表现为外科急症的病例。两例患者在手术时均无其他转移扩散的证据。对受累肠段进行了节段性切除,缓解效果满意。这强化了一种观点,即尽管恶性黑色素瘤本身预后较差,但对有症状的小肠转移灶进行手术切除是合理的。