Yotsumoto G, Shimokawa S, Yamaoka A, Watanabe S, Matsushita Y, Taira A
Second Department of Surgery, Kagoshima University, Faculty of Medicine, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 May;46(5):399-401. doi: 10.1007/BF03217762.
We report herein the case of a 66-year-old man who underwent resection and reconstruction of the chest wall due to the presence of a malignant melanoma without a detectable primary lesion. The patient was discharged in good condition after receiving chemotherapy but eventually died of multiple bone metastases 2 years after surgery. Throughout the postoperative course, there were no specific symptoms or findings suggesting the presence of a primary lesion. It was considered likely that the primary tumor was resolved by spontaneous regression after chest wall metastasis had been established.
我们在此报告一例66岁男性患者，因存在无法检测到原发灶的恶性黑色素瘤而接受胸壁切除及重建手术。该患者在接受化疗后状况良好出院，但最终在术后2年死于多发骨转移。在整个术后过程中，没有出现提示存在原发灶的特异性症状或体征。推测在胸壁转移灶形成后，原发肿瘤可能已自行消退。
