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经切除和使用部分厚度皮片移植进行原发性重建治疗的巨大结膜黑色素瘤。

Giant conjunctival melanoma treated with excision and primary reconstruction using a partial thickness skin graft.

机构信息

Clinic for Ophtalmology, School of Medicine, University of Niš, Serbia, Buld dr Zorana Đinđića 81, Niš, Serbia.

Clinic for Plastic and Reconstractive Surgery, School of Medicine, University of Niš, Serbia, Buld dr Zorana Đinđića 81, Niš, Serbia.

出版信息

Niger J Clin Pract. 2023 Aug;26(8):1204-1207. doi: 10.4103/njcp.njcp_794_22.

DOI:10.4103/njcp.njcp_794_22
PMID:37635618
Abstract

Conjunctival melanoma is a rare type of malignancy of ocular surface tissue with a high recurrence rate, sight, and life-threatening malignancy. In this paper, we report a case of giant conjunctival melanoma in an 86-year-old woman, localized on her left eye. The pigmented tumor lesion was de novo occurred and treated by local wide excision and reconstruction of the presented defect by partial thickness skin from the inside parts of the forearm. The eye itself was not damaged, and the first-line lymph nodes showed no malignant activity. In the three years of follow-up, no signs of recurrence have been observed. The treatment approach with local excision and subsequent reconstruction with the partial thickness skin graft or excision with adjuvant therapy has given a good clinical outcome.

摘要

结膜黑色素瘤是一种罕见的眼表面组织恶性肿瘤,具有较高的复发率、视力丧失和生命威胁。本文报告了一例 86 岁女性左眼局限性巨大结膜黑色素瘤,该患者的色素性肿瘤病变是新出现的,通过局部广泛切除和前臂内侧部分厚度皮肤进行病变部位的重建来治疗。眼球本身未受损伤,一线淋巴结无恶性活动。在三年的随访中,未观察到复发迹象。局部切除加随后的部分厚度皮片移植重建或切除加辅助治疗的治疗方法取得了良好的临床效果。

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