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恶性黑色素瘤:胃肠道透明细胞肉瘤的一项重要鉴别诊断。

Malignant melanoma: An important differential diagnosis for clear cell sarcoma of the gastrointestinal tract.

作者信息

He Yan-Fei

机构信息

Health Management Center, The Sixth Medical Center, Chinese PLA General Hospital, Beijing 100048, China.

出版信息

World J Clin Cases. 2024 Dec 6;12(34):6664-6668. doi: 10.12998/wjcc.v12.i34.6664.

Abstract

A case report by Liu describes the characteristics of metastatic clear cell sarcoma (CCS) of the pancreas and provides valuable therapeutic insights for this rare malignancy. This case is interesting because of its rarity, suggesting that the pancreas may be a potential target organ for CCS, either primary or metastatic. At the same time, the authors also emphasize the importance of regular postoperative follow-up for timely detection of recurrent lesions, as CCS is characterized by a high degree of malignancy and a high rate of recurrent metastases. Considering that CCS of the gastrointestinal tract is easily confused with malignant melanoma (MM) of the gastrointestinal tract, here we compare the clinical features, histopathological and immunohistochemical characteristics, diagnosis, treatment, and prognosis of CCS and MM of the gastrointestinal tract, hoping to provide a reference for clinical work.

摘要

刘的一篇病例报告描述了胰腺转移性透明细胞肉瘤(CCS)的特征,并为这种罕见的恶性肿瘤提供了有价值的治疗见解。该病例因其罕见性而引人关注,提示胰腺可能是原发性或转移性CCS的潜在靶器官。同时,作者还强调了术后定期随访对于及时发现复发病变的重要性,因为CCS具有高度恶性和高复发转移率的特点。鉴于胃肠道CCS容易与胃肠道恶性黑色素瘤(MM)混淆,在此我们比较胃肠道CCS和MM的临床特征、组织病理学和免疫组化特征、诊断、治疗及预后,希望能为临床工作提供参考。

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