Colombo P, Catona A, Pini G, Bottani G, Coronelli M, Bellini F, Bonacasa R
Minerva Med. 1984 Feb 25;75(7):305-15.
Three patients with intestinal metastases from a malignant melanoma are presented. The pathological and clinical findings are reviewed. The symptoms are variable , but usually include unexplained anemia, gastrointestinal bleeding, abdominal pain and intestinal obstruction. X-ray examination of gastrointestinal tract can reveal multiple metastatic lesions with so-called typical "Bull's eye" sign. Surgical excision is indicated and extended survival due to improved chemotherapy and immunotherapy is stressed.
本文报告了3例恶性黑色素瘤肠道转移患者。回顾了其病理和临床发现。症状多样,但通常包括不明原因的贫血、胃肠道出血、腹痛和肠梗阻。胃肠道X线检查可发现多个具有所谓典型“靶心”征的转移病灶。建议手术切除,并强调由于化疗和免疫治疗的改善,患者生存期得以延长。