Wargny D, Dichy J, de Broucker F, Guichard J P, Levesque M
Service de Radiologie, Hôpital Louis-Mourier, Colombes.
J Radiol. 1989 Oct;70(10):577-9.
We report about the case of one patient with diffuse small bowel metastases of melanosarcoma, which were revealed by signs of malabsorption 2 years after the exeresis of the initial skin tumor. Metastases of melanosarcoma in the digestive tract, especially the small bowel, have polymorphic and hardly suggestive clinical signs. We lay stress on the high percentage of small bowel metastases of melanosarcoma pointed out by the anatomicopathological literature and on the lack of systematic clinical and radiological search for such metastases in the assessment and follow-up of the primary melanosarcoma.
我们报告了一例黑色素肉瘤弥漫性小肠转移患者的病例,该转移在最初皮肤肿瘤切除2年后因吸收不良症状而被发现。黑色素肉瘤在消化道尤其是小肠的转移具有多形性且临床症状难以提示。我们强调了解剖病理学文献指出的黑色素肉瘤小肠转移的高比例,以及在原发性黑色素肉瘤的评估和随访中缺乏对这种转移进行系统的临床和影像学检查。