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[脑脊液在诊断巨大先天性黑素细胞痣起源的恶性黑色素瘤脑-脑膜转移中的应用:病例报告]

[Cerebrospinal fluid in the diagnosis of cerebro-meningeal metastasis from malignant melanoma arising from giant congenital melanocytic nevus: case report].

作者信息

Rolim J A, Barsottini O G, Prado G F, Nakandakare F, Reis M L, Reis-Filho J B

机构信息

Escola Paulista de Medicina (EPM) da Universidade Federal de São Paulo(UNIFESP), Brasil.

出版信息

Arq Neuropsiquiatr. 1996 Sep;54(3):479-83. doi: 10.1590/s0004-282x1996000300019.

Abstract

We describe the case of a 28-year-old man with a giant congenital melanocytic nevus (GCMN) with malignant transformation to melanoma and metastasis on the central nervous system (CNS). We also make a summary of the pathological features from both lesions (GCMN and Melanoma), the occurrence of malignancy of GCMN, the organs more frequently involved with metastatic melanoma--with emphasis to involvement of CNS--just as the factors that cause malignant transformation of GCMN; the methods to diagnose metastases in CNS--emphasizing the importance of cerebrospinal fluid--and some therapeutical modalities for the metastatic melanoma in CNS.

摘要

我们描述了一名28岁男性患者的病例,该患者患有巨大先天性黑素细胞痣(GCMN),已发生恶性转化为黑色素瘤并转移至中枢神经系统(CNS)。我们还总结了两种病变(GCMN和黑色素瘤)的病理特征、GCMN的恶性发生率、转移性黑色素瘤更常累及的器官——重点是CNS受累情况——以及导致GCMN恶性转化的因素;诊断CNS转移的方法——强调脑脊液的重要性——以及CNS转移性黑色素瘤的一些治疗方式。

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