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[恶性黑色素瘤小肠转移作为肠道出血的罕见原因]

[Metastasis to the small intestine of malignant melanoma as a rare cause of intestinal hemorrhage].

作者信息

Wulf V, Schröder H J

机构信息

Abteilung für Chirurgie, Kreiskrankenhaus Husum, Bundesrepublik Deutschland.

出版信息

Zentralbl Chir. 1994;119(7):515-6.

PMID:7941801
Abstract

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.

摘要

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。

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