Morone G, Meriggi F, Forni E
Clinica Chirurgica Generale, Università degli Studi di Pavia.
Ann Ital Chir. 1998 Jul-Aug;69(4):461-4.
Melanoma is considered one of the most lethal cancers and surgical therapy of its pulmonary metastases is rarely indicated. The only hope for a successful surgical treatment of secondaries from melanoma is a radical resection. Considering the very frequent multiorgan involvement of melanoma metastases, surgery is usually possible in less than 5% of cases. Nevertheless, in selected cases without lymph nodal involvement a 5-year survival rate of 31% has been reported. In any way, it must be remembered that about 10% of lung tumours thought to be metastases are primary cancers. In this occurrence surgery could be a rescuing solution. So, a pulmonary resection is always imperative when some diagnostic doubt exists.
黑色素瘤被认为是最致命的癌症之一，其肺转移的手术治疗很少被采用。成功手术治疗黑色素瘤继发性转移的唯一希望是根治性切除。考虑到黑色素瘤转移非常频繁地累及多个器官，手术通常仅适用于不到5%的病例。然而，在某些无淋巴结受累的特定病例中，据报道5年生存率为31%。无论如何，必须记住，约10%被认为是转移瘤的肺部肿瘤实际上是原发性癌症。在这种情况下，手术可能是一种挽救性的解决方案。因此，当存在某些诊断疑问时，肺切除总是必要的。
