原发性直肠黑色素瘤病例报道
Primary rectal melanoma: a case report
目的 提高对原发性直肠黑色素瘤的临床认识以及总结其治疗方法。方法 回溯性分析本院收治的1例直肠原发性黑色素瘤患者的临床病例资料,并结合国内对黑色素瘤的相关报道总结临床诊治经验。 结果 原发性黑色素瘤临床表现缺乏特异性,且术前诊断较为困难,主要依赖于病理手段。而且,其治疗主要以手术为主,而直肠黑色素瘤根治术后,多需要永久造口,造口过程中,多发生造口旁疝以及肠管外漏。总结 原发性直肠黑色素瘤术诊断难,术后需要永久造口,且经常伴随造口旁疝的发生。因此,后期的护理对于延长生命和提供生活质量具有重要意义。
Objective: To improve clinical understanding of primary rectal melanoma and summarize its treatment methods. Method: Retrospective analysis was conducted on the clinical data of a patient with primary melanoma of the rectum admitted to our hospital, and clinical diagnosis and treatment experience was summarized based on relevant reports on melanoma in China. The clinical manifestations of primary melanoma lack specificity, and preoperative diagnosis is relatively difficult, mainly relying on pathological methods. Moreover, its treatment is mainly surgical, and after the radical resection of rectal melanoma, a permanent stoma is often required. During the stoma process, there are often cases of peristomal hernia and intestinal leakage. Summary: The diagnosis of primary rectal melanoma is difficult, requires permanent stoma after surgery, and often accompanies the occurrence of hernia near the stoma. Therefore, post care is of great significance for prolonging life and providing quality of life.
王立杰、陈思
肿瘤学临床医学外科学
直肠、黑色素瘤、原发性、造口旁疝
Rectummelanomaprimaryperiostal hernia
王立杰,陈思.原发性直肠黑色素瘤病例报道[EB/OL].(2023-10-20)[2025-08-02].https://www.biomedrxiv.org.cn/article/doi/bmr.202310.00004.点此复制
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