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孤立性胰腺转移性恶性黑色素瘤的非手术治疗:病例报告及文献复习。

Nonsurgical Approach to Isolated Pancreatic Metastatic Malignant Melanoma: A Case Report and Review of the Literature.

机构信息

MountainView Hospital, Las Vegas, NV, USA.

出版信息

J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221111763. doi: 10.1177/23247096221111763.

DOI:10.1177/23247096221111763
PMID:35848077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9290102/
Abstract

Isolated pancreatic metastases from melanoma are rare with high mortality rate and account for less than 1% of metastatic melanomas. Treatment options are limited with highest overall survival reported in those with complete surgical resection. Of cases reported in the literature with nonsurgical management, highest length of survival was reported to be 10 months. We report a case of malignant melanoma with isolated pancreatic metastasis treated with interferon therapy and immunotherapy, with evidence of progressive tumor shrinkage and survival at 38 months.

摘要

孤立性胰腺转移瘤来自黑色素瘤,其死亡率高,占转移性黑色素瘤的比例不到 1%。治疗方案有限,据报道,完全手术切除的患者总生存率最高。在文献中报告的非手术治疗病例中,最长的生存时间为 10 个月。我们报告了一例恶性黑色素瘤伴孤立性胰腺转移,接受干扰素治疗和免疫治疗,肿瘤有进展性缩小的证据,且患者存活 38 个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c59a/9290102/7f1ce509ce02/10.1177_23247096221111763-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c59a/9290102/7f1ce509ce02/10.1177_23247096221111763-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c59a/9290102/7f1ce509ce02/10.1177_23247096221111763-fig1.jpg

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Nonsurgical Approach to Isolated Pancreatic Metastatic Malignant Melanoma: A Case Report and Review of the Literature.孤立性胰腺转移性恶性黑色素瘤的非手术治疗:病例报告及文献复习。
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221111763. doi: 10.1177/23247096221111763.
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本文引用的文献

1
Pancreatic Metastasis from Malignant Melanoma: Not All That Glitters Is Gold.恶性黑色素瘤的胰腺转移:并非所有闪光的都是金子。
Case Rep Gastroenterol. 2021 Feb 3;15(1):131-136. doi: 10.1159/000511864. eCollection 2021 Jan-Apr.
2
Obstructive Jaundice Secondary to Pancreatic Head Metastasis of Malignant Amelanotic Melanoma as the First Clinical Manifestation.因恶性无黑色素性黑色素瘤胰头部转移引起的阻塞性黄疸为首发临床表现。
Prague Med Rep. 2021;122(1):45-51. doi: 10.14712/23362936.2021.6.
3
Metastases to the Pancreas Encountered on Endoscopic Ultrasound-Guided, Fine-Needle Aspiration.
内镜超声引导下细针穿刺活检发现的胰腺转移瘤
Arch Pathol Lab Med. 2015 Oct;139(10):1248-52. doi: 10.5858/arpa.2015-0200-RA.
4
Combined Nivolumab and Ipilimumab or Monotherapy in Untreated Melanoma.纳武利尤单抗与伊匹木单抗联合用药或单药治疗初治黑色素瘤
N Engl J Med. 2015 Jul 2;373(1):23-34. doi: 10.1056/NEJMoa1504030. Epub 2015 May 31.
5
Multiple pancreatic metastases from malignant melanoma: Conclusive diagnosis with endoscopic ultrasound-guided fine needle aspiration.多器官胰腺转移恶性黑色素瘤:超声内镜引导下细针抽吸的明确诊断。
Endosc Ultrasound. 2015 Apr-Jun;4(2):145-8. doi: 10.4103/2303-9027.156746.
6
Immune Checkpoint Blockade in Cancer Therapy.癌症治疗中的免疫检查点阻断疗法
J Clin Oncol. 2015 Jun 10;33(17):1974-82. doi: 10.1200/JCO.2014.59.4358. Epub 2015 Jan 20.
7
The use of interferon in melanoma patients: a systematic review.干扰素在黑色素瘤患者中的应用:一项系统性综述。
Cytokine Growth Factor Rev. 2015 Apr;26(2):203-12. doi: 10.1016/j.cytogfr.2014.11.008. Epub 2014 Nov 22.
8
Isolated malignant melanoma metastasis to the pancreas.孤立性恶性黑色素瘤胰腺转移。
Plast Reconstr Surg Glob Open. 2013 Dec 6;1(8):e74. doi: 10.1097/GOX.0000000000000018. eCollection 2013 Nov.
9
METASTATIC MELANOMA OF THE GASTROINTESTINAL TRACT.胃肠道转移性黑色素瘤
Arch Surg. 1964 Jun;88:969-73. doi: 10.1001/archsurg.1964.01310240065013.
10
Metastatic pancreatic malignant melanoma: tumor thrombus formed in portal venous system 15 years after initial surgery.转移性胰腺恶性黑色素瘤:初次手术后15年在门静脉系统形成肿瘤血栓。
Pancreas. 2003 Aug;27(2):201-3. doi: 10.1097/00006676-200308000-00016.