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恶性黏膜外阴黑色素瘤的有效外科会阴部重建。

Effectual surgical perineal reconstruction of malignant mucosal vulvar melanoma.

机构信息

Department of Obstetrics and Gynecology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.

Department of Obstetrics and Gynecology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2023 Jan;62(1):167-170. doi: 10.1016/j.tjog.2022.05.019.

DOI:10.1016/j.tjog.2022.05.019
PMID:36720534
Abstract

OBJECTIVE

To demonstrate a successful surgical treatment and reconstruction in a case of malignant mucosal vulvar melanoma.

CASE REPORT

A 52-year-old woman had stage II bulky malignant mucosal vulvar melanoma and received wide surgical excision with partial vulvectomy. She underwent 2-steps reconstructive vulvoplasty and vaginoplasty with skin grafting 1 year after initial surgical treatment. There was no evidence of recurrence after 3 years of follow-up.

CONCLUSION

Vulvar melanoma is a rare malignant neoplasm. Wide local excision with reconstruction can relieve pelvic discomfort and restore local function after the surgery.

摘要

目的

展示一例恶性黏膜外阴黑色素瘤的成功手术治疗和重建。

病例报告

一名 52 岁女性患有 II 期大块恶性黏膜外阴黑色素瘤,接受了广泛的手术切除和部分外阴切除术。初始手术治疗 1 年后,她接受了两步式重建性外阴成形术和植皮阴道成形术。随访 3 年后未见复发迹象。

结论

外阴黑色素瘤是一种罕见的恶性肿瘤。广泛的局部切除加重建可以缓解术后骨盆不适并恢复局部功能。

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