睑结膜巨大恶性黑色素瘤1例

A giant malignant melanoma of the palpebral conjunctiva:a case report

1例81岁左眼肿物女性患者,半年内左眼米粒大小黑色肿物体积迅速增大,延伸至眼外并伴表面糜烂出血,经活体组织检查和全身麻醉下眼眶内容物摘除术后组织病理学检查,诊断为左眼睑结膜巨大恶性黑色素瘤,组织病理类型为梭形细胞。术后未接受局部放射治疗和全身化学治疗,半年后去世。

An 81-year-old female patient experienced a rapid increase in the volume of a rice-sized black mass on the left eye over a period of six months.The mass extended out of the eye and exhibited surface erosion with accompanying hemorrhage.Following a live tissue examination and histopathology after orbital exenteration under general anesthesia,the diagnosis of a giant malignant palpebral conjunctival melanoma of the spindle cell subtype was confirmed.The patient refused to undergo local radiation therapy or systemic chemotherapy and died from the disease six months later.