Chang Stephanie T, Desser Terry S, Gayer Gabriela, Menias Christine O
Department of Radiology, Stanford University School of Medicine, Stanford, CA.
Department of Radiology, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Semin Ultrasound CT MR. 2014 Jun;35(3):272-89. doi: 10.1053/j.sult.2014.02.001. Epub 2014 Feb 7.
Metastatic melanoma causes an unpredictable variety of manifestations in the chest and abdomen that may be indistinguishable from other diseases by imaging alone. Melanoma metastases commonly involve the lymph nodes, lungs, liver, and small bowel, but virtually any organ can be affected. Newer modalities, such as contrast-enhanced ultrasound and whole-body magnetic resonance imaging, may provide more sensitive detection of metastatic melanoma for diagnosis, staging, and surveillance. An understanding of the predominantly hematogenous nature of metastatic spread by melanoma as well as a high index of suspicion in any patient with a history of melanoma may allow for more precise and confident diagnosis.
转移性黑色素瘤在胸部和腹部会引发各种不可预测的表现，仅通过影像学检查可能无法与其他疾病区分开来。黑色素瘤转移通常累及淋巴结、肺、肝和小肠，但实际上任何器官都可能受到影响。新型检查手段，如超声造影和全身磁共振成像，可能在转移性黑色素瘤的诊断、分期和监测方面提供更灵敏的检测。了解黑色素瘤转移主要通过血行播散的特性，以及对任何有黑色素瘤病史的患者保持高度怀疑，可能有助于做出更精确和可靠的诊断。
