肛管直肠恶性黑色素瘤

The Anorectal Malignant Melanoma

为了探讨肛管直肠恶性黑色素瘤的疗效，对１９６０～１９９６年收治的２７例肛管直肠恶性黑色素瘤（ＡＲＭＭ）进行了临床分析，其中１６例行经腹会阴联合根治术（Ｍｉｌｅ＇ｓ术），６例行局部切除术，５例行剖腹探查术。２２例获随访，随访时间为１～１２年。结果表明：中位生存时间Ｍｉｌｅ＇ｓ术组２１．５月、局部切除术组１３．５月、剖腹探查术组７．０月。Ｍｉｌｅ＇ｓ术效果优于局部切除术。提示：对ＡＲＭＭ应行Ｍｉｌｅ＇ｓ术。

To explore the effects of treatment in paients with anorectal malignant melanoma, we analysed 27 cases of anorectal malignant melanoma (ARMM) treated in the Affiliated Hospital of Shangdong Medical University from 1960 to 1996. Of them, 16 cases were treated with Mile's operation, 6 with local resection, 5 with simple exploration. Twentytwo cases were followed up for 1～12 years. The results showed that the median survival time was 21.5 months in Mile's operation group; 13.5 months in local resection group and 7.0 months in simple exploration respectively. The authors hold that the Mile's operation should be performed for the cases of ARMM and groin disection is necessary for cases of groin lymphatic metastasis or suspected metastasis cases.