Kyösola K, Harjula A, Heikkinen L, Timonen T, Miettinen M
Scand J Thorac Cardiovasc Surg. 1984;18(3):267-70. doi: 10.3109/14017438409109906.
A primary malignant melanoma of the oesophagus was surgically treated in a 71-year-old man. Maximally radical excision of the tumour was performed, with broad 'safety' margins and radical ablation of the para-oesophageal tissue at tumour level, without touching the tumour. When oesophagoscopy shows a tumour strongly suggestive of melanoma, confirmation should be made with fine-needle aspiration biopsy in preference to histologic biopsy, to avoid explosive spread of the tumour.
一名71岁男性因原发性食管恶性黑色素瘤接受了手术治疗。对肿瘤进行了最大限度的根治性切除，切除范围包括较宽的“安全”切缘，并在肿瘤层面彻底切除食管旁组织，手术过程中未触碰肿瘤。当食管镜检查显示肿瘤高度怀疑为黑色素瘤时，应优先进行细针穿刺活检以确诊，而非组织学活检，以避免肿瘤的爆发性扩散。
