Navarro-Nuño Damaris Estefanía, Villarreal-Salgado José Luis, Grano-González Víctor Hugo, García-Marín Gustavo, Nuño-Rodríguez Víctor Hugo, Torres-Salazar Quitzia Libertad
Regional Hospital "Dr. Valentín Gómez Farías", Institute of Security and Social Services for State Workers, Mexico.
Juárez University of the State of Durango, Mexico.
Int J Surg Case Rep. 2023 Sep;110:108659. doi: 10.1016/j.ijscr.2023.108659. Epub 2023 Aug 11.
Nodular melanoma is the second most frequent cutaneous melanoma worldwide and due to its rapid growth rate and non-malignant appearance, is the most aggressive one. In its polypoid form, it is usually found in mucosal areas, but can also be seen on the trunk. This case is presented because it is an unusual manifestation and surgical treatment required wide excision, however, the patient's evolution is favorable.
70-year-old female patient shows a progressively growing lesion with irregular border, abnormal color and a heterogeneous appearance. The biopsy yields the histological diagnosis of nodular polypoid melanoma. The surgical technique results in the resection of a 10 × 9 × 67 cm piece with favorable evolution of the patient.
The surgical technique of margin widening is considered a recommended option for polypoid nodular back melanomas. Although the excision is considered vast, the patient's evolution may turn out to be favorable.
结节性黑色素瘤是全球第二常见的皮肤黑色素瘤，因其生长速度快且外观不典型，是最具侵袭性的一种。其息肉样形态通常见于黏膜部位，但也可出现在躯干。呈现此病例是因为它表现不寻常，手术治疗需广泛切除，不过患者病情进展良好。
一名70岁女性患者有一个边界不规则、颜色异常且外观不均一的渐进性生长病变。活检组织学诊断为结节性息肉样黑色素瘤。手术切除了一块10×9×67厘米的组织，患者病情进展良好。
扩大切缘的手术技术被认为是息肉样结节性背部黑色素瘤的推荐选择。尽管切除范围较大，但患者病情进展可能良好。
