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原发性阴囊黑色素瘤:是时候消除对生殖器病变的污名化了。

Primary scrotal melanoma: it is time to destigmatize genital lesions.

作者信息

Özkur Ezgi, Altunay İlknur Kıvanç

机构信息

Department of Dermatology, Şişli Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Department of Dermatology, Şişli Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

出版信息

An Bras Dermatol. 2019 Nov-Dec;94(6):721-723. doi: 10.1016/j.abd.2018.12.005. Epub 2019 Nov 2.

DOI:10.1016/j.abd.2018.12.005
PMID:31789252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6939181/
Abstract

Primary male genital melanomas are very rare; they are associated with high mortality and late detection. Scrotal melanoma is the least common presentation and only 23 cases have been reported. Herein, the authors present a 30-year-old patient with stage IIIC (T4b, N2a, M0) scrotal melanoma in order to report the characteristics, treatment, and outcome, as well as to emphasize the importance of examination of the genitals, education of patients about self-examination and destigmatizing genital lesions to increase the likelihood of earlier detection.

摘要

原发性男性生殖器黑色素瘤非常罕见;它们与高死亡率和晚期发现有关。阴囊黑色素瘤是最不常见的表现形式,仅报告过23例。在此,作者介绍一名30岁患有IIIC期(T4b,N2a,M0)阴囊黑色素瘤的患者,以报告其特征、治疗和结果,并强调生殖器检查、对患者进行自我检查教育以及消除对生殖器病变的污名化以提高早期发现可能性的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/394b/6939181/207f8307c92a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/394b/6939181/d5261c99fa8e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/394b/6939181/207f8307c92a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/394b/6939181/d5261c99fa8e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/394b/6939181/207f8307c92a/gr2.jpg

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本文引用的文献

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Genital melanoma: are we adequately screening our patients?生殖器黑色素瘤:我们对患者进行了充分的筛查吗?
Dermatol Online J. 2017 Mar 15;23(3):13030/qt7zk476vn.
2
Scrotal Melanoma: A Systematic Review of Presentation, Treatment, and Outcomes.阴囊黑色素瘤:临床表现、治疗及预后的系统评价
Dermatol Surg. 2017 Jun;43(6):765-770. doi: 10.1097/DSS.0000000000001072.
3
Patient Preferences During Skin Cancer Screening Examination.皮肤癌筛查检查期间的患者偏好
JAMA Dermatol. 2016 Sep 1;152(9):1052-4. doi: 10.1001/jamadermatol.2016.1005.
4
Primary genitourinary melanoma: Epidemiology and disease-specific survival in a large population-based cohort.原发性泌尿生殖系统黑色素瘤:基于大规模人群队列的流行病学及疾病特异性生存率
Urol Oncol. 2016 Apr;34(4):166.e7-14. doi: 10.1016/j.urolonc.2015.11.009. Epub 2015 Dec 28.
5
Prognosis of primary mucosal penile melanoma: a series of 19 Dutch patients and 47 patients from the literature.原发性阴茎黏膜黑色素瘤的预后:19例荷兰患者及文献报道的47例患者的病例系列研究
Urology. 2007 Jul;70(1):143-7. doi: 10.1016/j.urology.2007.03.039.
6
Melanoma of the penis, scrotum and male urethra: a 40-year single institution experience.阴茎、阴囊及男性尿道黑色素瘤:一家机构40年的经验
J Urol. 2005 Jun;173(6):1958-65. doi: 10.1097/01.ju.0000159207.91737.53.