Würtz Helene Juul, Detlefsen Sönke, Ainsworth Alan Patrick
Ugeskr Laeger. 2018 Jun 4;180(23).
Gall bladder polyps larger than 10 mm hold an increased risk of malignancy. In this case report, a metastasis from a superficial spreading malignant melanoma level IV presented as a large gall bladder polyp in a 52-year-old woman. The melanoma had been surgically resected eight years earlier. The most frequent distant metastatic sites of malignant melanoma are soft tissue, lung, liver, skin and brain, but metastasis to the gallbladder is rare. It is important to refer patients with large gall bladder polyps to centres with expertise in liver surgery.
直径大于10毫米的胆囊息肉发生恶性病变的风险增加。在本病例报告中,一名52岁女性的浅表扩散性IV级恶性黑色素瘤发生转移,表现为一个巨大的胆囊息肉。该黑色素瘤在八年前已接受手术切除。恶性黑色素瘤最常见的远处转移部位是软组织、肺、肝、皮肤和脑,但转移至胆囊的情况罕见。将患有巨大胆囊息肉的患者转诊至具备肝脏手术专业知识的中心很重要。