Wulf V, Schröder H J
Abteilung für Chirurgie, Kreiskrankenhaus Husum, Bundesrepublik Deutschland.
Zentralbl Chir. 1994;119(7):515-6.
This is the case report of a 63 year old female patient, who was admitted to the hospital due to an unexplained anemia. A malignant melanoma of the cheek was excised four years previously (stage II, Clark level V, TNM classification: pT4, pNl, MO), followed by chemotherapy. By x-ray and CT examination an intestinal malignant growth was assumed. Laparotomy revealed a metastasis of the malignant melanoma, situated in the middle of the jejunum as cause of the occult bleeding. Complete resection of the tumor was successfully carried out. A second look laparotomy one year later revealed no further tumor growth in the abdominal cavity.
这是一例63岁女性患者的病例报告，该患者因不明原因贫血入院。四年前切除了脸颊部的恶性黑色素瘤（II期，克拉克分级V级，TNM分类：pT4，pN1，M0），随后进行了化疗。通过X线和CT检查推测有肠道恶性肿瘤。剖腹探查发现恶性黑色素瘤转移，位于空肠中部，是隐匿性出血的原因。成功地完整切除了肿瘤。一年后再次剖腹探查显示腹腔内无肿瘤进一步生长。
