摘要
目的：研究肛管结肠直肠黑素瘤的特点及诊疗。方法：回顾性分析2001年1月至2010年1月我院诊治的14例肛管结肠直肠黑素瘤病人的临床病理资料。结果：男9例，女5例，平均年龄（65．0±4．6）（27-86）7。肿瘤位于肛管10例（71．4％）、直肠3例（21．4％）、结肠1例（7．2％）。误诊率71．4％。明确诊断后行局部扩大切除术3例，经腹会阴联合切除术5例．左半结肠切除术1例。术后均随访，随访时间2．5～11．5年，仅2例存活至今。结论：肛管及结肠直肠黑素瘤是一种少见且预后极差、易被误诊的肿瘤。早期诊断、早期手术是目前提高生存率的方案。
Objective To analyze the clinical feature, diagnosis and treatment of anal-coloreetal melanoma （AM）. Methods In this retrospective study, 14 patients with AM were enrolled in Ruijin Hospital between Jan 2001 and Jan 2010. Results There were 9 male and 5 female patients, aging from 27 to 86 [mean age： （65.0±4.6）（27-86） years]. There were 10 （71.4%） anal canal melanoma, 3（21.4%） rectal melanoma and 1 （7.2%） colonic melanoma. Misdiagnosis rate was 71.4%. Three were treated with wide local excision, 5 with abdominal-perineal resection and 1 with left hemicoleetomy. All were followed-up for 2.5 to 11.5 years. Only 2 patients survived now. Conclusions Anal-colorectal melanoma was a rare disease. Diagnosis is difficult and the prognosis poor. Early diagnosis and surgery is effective.
出处
《外科理论与实践》
2012年第6期664-667,共4页
Journal of Surgery Concepts & Practice
关键词
肛管
结肠直肠恶性肿瘤
黑素瘤
Anal canal
Colorectal malignant tumour
Melanoma
