原发性晚期食管胃黑色素瘤：1例罕见病例。
Primary advanced esophago-gastric melanoma: A rare case.
作者信息
Wang Lin, Zong Liang, Nakazato Hidetsugu, Wang Wen-Yue, Li Chao-Feng, Shi Yan-Fen, Zhang Guo-Chao, Tang Tao
机构信息
Lin Wang, Peking University China-Japan Friendship School of Clinical Medicine, Beijing 100029, China.
出版信息
World J Gastroenterol. 2016 Mar 21;22(11):3296-301. doi: 10.3748/wjg.v22.i11.3296.
Abstract
Primary esophageal or gastric melanoma is a very rare disease with early metastasis. Due to its atypical symptom and less efficiency of chemotherapy and radiotherapy, the prognosis of esophageal or gastric melanoma is still very poor. Surgical resection remains the preferential treatment for esophageal or gastric melanoma. Here we present an extremely rare case of primary advanced esophago-gastric melanoma. Debulking surgery was performed without chemotherapy or radiotherapy. However, abdominal recurrence and hepatic metastases were found within one month by a postoperative follow-up computed tomography. Three and a half months after surgical resection, the patient died of extensive abdominal metastasis.
摘要
原发性食管或胃黑色素瘤是一种非常罕见且早期易转移的疾病。由于其症状不典型以及化疗和放疗效果欠佳，食管或胃黑色素瘤的预后仍然很差。手术切除仍是食管或胃黑色素瘤的首选治疗方法。在此，我们报告一例极其罕见的原发性晚期食管胃黑色素瘤病例。患者接受了减瘤手术，未进行化疗或放疗。然而，术后随访计算机断层扫描显示在一个月内出现了腹部复发和肝转移。手术切除三个半月后，患者因广泛的腹部转移而死亡。
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