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乳腺实质原发性黑色素瘤:一种肿瘤整形治疗方法。

Primary Melanoma of the Breast Parenchyma: An Oncoplastic Approach.

作者信息

Snashall Emma, Kiernan Tamara, Harper-Machin Aenone, Taghizadeh Rieka

机构信息

Department of Plastic Surgery, St Helens and Knowsley NHS Trust, Merseyside, UK.

Department of Breast Surgery, St Helens and Knowsley NHS Trust, Merseyside, UK.

出版信息

Plast Reconstr Surg Glob Open. 2020 Dec 18;8(12):e3276. doi: 10.1097/GOX.0000000000003276. eCollection 2020 Dec.

DOI:10.1097/GOX.0000000000003276
PMID:33425591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7787278/
Abstract

Primary melanoma of the breast parenchyma (PMPB) is a rare and aggressive disease, with only a few cases reported in the literature. We present the case of a 50-year old woman who underwent mastectomy and immediate breast reconstruction using a free DIEP flap following recurrence after breast conserving surgery. This report highlights the importance of an oncoplastic approach for this diagnosis and the benefit of immediate autologous breast reconstruction.

摘要

乳腺实质原发性黑色素瘤(PMPB)是一种罕见且侵袭性强的疾病,文献中仅有少数病例报道。我们报告了一例50岁女性的病例,该患者在保乳手术后复发,随后接受了乳房切除术,并使用游离腹壁下动脉穿支皮瓣进行即刻乳房重建。本报告强调了肿瘤整形方法对于该诊断的重要性以及即刻自体乳房重建的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/212be7e20dfa/gox-8-e3276-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/2985156e4d2b/gox-8-e3276-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/92569749a2ec/gox-8-e3276-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/212be7e20dfa/gox-8-e3276-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/2985156e4d2b/gox-8-e3276-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/92569749a2ec/gox-8-e3276-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0326/7787278/212be7e20dfa/gox-8-e3276-g003.jpg

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本文引用的文献

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Surgery on primary melanoma of the breast.乳腺原发性黑色素瘤的手术治疗。
Transl Cancer Res. 2019 Oct;8(Suppl 5):S463-S468. doi: 10.21037/tcr.2019.04.13.
2
Malignant melanoma of the breast: controversies in the diagnosis and therapeutic management of a rare nosologic entity.乳腺恶性黑色素瘤:一种罕见疾病实体在诊断和治疗管理方面的争议。
Int J Dermatol. 2020 Sep;59(9):1057-1064. doi: 10.1111/ijd.14818. Epub 2020 Mar 2.
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Primary Malignant Melanoma of the Breast: A Report of Two Cases.原发性乳腺恶性黑色素瘤:两例报告
J Pathol Transl Med. 2019 Mar;53(2):119-124. doi: 10.4132/jptm.2018.10.18. Epub 2018 Nov 26.
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Trends in Lumpectomy and Oncoplastic Breast-Conserving Surgery in the US, 2011-2016.美国 2011-2016 年保乳手术中乳房肿瘤切除术和整形保乳手术的趋势。
Ann Surg Oncol. 2018 Dec;25(13):3867-3873. doi: 10.1245/s10434-018-6760-7. Epub 2018 Sep 21.
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Anticancer Res. 2015 Mar;35(3):1709-13.
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Primary malignant melanoma of the breast: A case report and review of the literature.原发性乳腺恶性黑色素瘤:一例病例报告及文献复习
Oncol Lett. 2014 Jul;8(1):238-240. doi: 10.3892/ol.2014.2120. Epub 2014 May 7.
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Extracutaneous malignant melanomas.皮肤外恶性黑色素瘤
Cancer Invest. 2008 Jun;26(5):516-34. doi: 10.1080/07357900701781762.
8
Quality of life, patient satisfaction and cosmetic outcome after breast reconstruction using DIEP flap or expandable breast implant.采用腹壁下动脉穿支皮瓣(DIEP瓣)或可扩张乳房植入物进行乳房重建后的生活质量、患者满意度及美容效果
J Plast Reconstr Aesthet Surg. 2008 Oct;61(10):1188-94. doi: 10.1016/j.bjps.2007.05.006. Epub 2007 Jul 2.
9
Tyrosinase, melan-A, and KBA62 as markers for the immunohistochemical identification of metastatic amelanotic melanomas on paraffin sections.酪氨酸酶、黑色素A和KBA62作为免疫组织化学鉴定石蜡切片上转移性无黑色素黑色素瘤的标志物。
Mod Pathol. 1998 Aug;11(8):740-6.
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An immunophenotypic survey of malignant melanomas.恶性黑色素瘤的免疫表型研究
Histopathology. 1993 Aug;23(2):159-66. doi: 10.1111/j.1365-2559.1993.tb00474.x.