England M D, Sarr M G
Department of Surgery, Mayo Clinic, Rochester, MN 55905.
Surgery. 1990 May;107(5):595-6.
We report a patient with malignant melanoma metastatic to the supraampullar portion of the common bile duct. The unique aspects of this case include its clinical presentation masquerading as obstructive jaundice caused by a bile duct tumor and the finding of an isolated solitary recurrence metastatic to the bile duct. Cautions about the management of unusual gastrointestinal or pancreatobiliary lesions in patients with a history of melanoma are discussed.
我们报告了一例恶性黑色素瘤转移至胆总管壶腹上部的患者。该病例的独特之处包括其临床表现伪装为由胆管肿瘤引起的梗阻性黄疸，以及发现孤立的转移至胆管的单发复发病灶。文中讨论了对有黑色素瘤病史患者中不寻常的胃肠道或胰胆管病变管理的注意事项。
