未治疗的肢端黑色素瘤切除术后胃和肺转移的进展。
Progression of untreated gastric and pulmonary metastasis in a patient with resected acral melanoma.
机构信息
Department of Internal Medicine, Montefiore Medical Center, Bronx, New York, USA
Department of Hematology and Oncology, Columbia Presbyterian Medical Center, New York, New York, USA.
出版信息
BMJ Case Rep. 2022 Mar 9;15(3):e247683. doi: 10.1136/bcr-2021-247683.
We report a man in his 80s who presents with epigastric abdominal pain and fatigue for 2 weeks. His medical history was significant for left toe acral melanoma (excised 6 years prior) and a lung mass, further workup for which was declined at the time by the patient. On presentation, he had iron deficiency anaemia and esophagogastroduodenoscopy revealed a gastric mass. Histopathological analysis of gastric and subsequently, pulmonary, lesions were consistent with metastatic melanoma. This case demonstrates the unique slow progression of untreated pulmonary metastasis in metastatic melanoma.
我们报告了一位 80 多岁的男性患者，他因上腹痛和疲劳症状出现 2 周。他的病史包括左侧脚趾肢端黑色素瘤（6 年前切除）和肺部肿块，当时患者拒绝进一步检查。就诊时，他患有缺铁性贫血，食管胃十二指肠镜检查显示胃内有一个肿块。胃和随后的肺部病变的组织病理学分析与转移性黑色素瘤一致。本例显示了未治疗的转移性黑色素瘤肺转移的独特的缓慢进展过程。
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