结直肠肛门外科2024,Vol.30Issue(3) :384-388.DOI:10.19668/j.cnki.issn1674-0491.2024.03.028

1例原发性肛管直肠恶性黑色素瘤合并结肠多发息肉的病例报告并文献回顾

Primary anorectal malignant melanoma with multiple polyps in the colon:a case report and literature review

李源 蒋贵君 刘兴超 李守超
结直肠肛门外科2024,Vol.30Issue(3) :384-388.DOI:10.19668/j.cnki.issn1674-0491.2024.03.028

1例原发性肛管直肠恶性黑色素瘤合并结肠多发息肉的病例报告并文献回顾

Primary anorectal malignant melanoma with multiple polyps in the colon:a case report and literature review

李源 1蒋贵君 1刘兴超 1李守超2
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作者信息

  • 1. 潍坊医学院临床医学院 山东潍坊 261000
  • 2. 潍坊市人民医院结直肠肛门外科 山东潍坊 261000
  • 折叠

摘要

肛管直肠恶性黑色素瘤是一种临床罕见的具有高度侵袭性且预后极差的恶性肿瘤,占恶性黑色素瘤的0.2%~3%,以中老年女性稍多见.肛管直肠恶性黑色素瘤临床发病率较低,误诊率较高,早期易转移,确诊时多为中晚期,预后较差.外科手术联合化疗、免疫治疗和靶向治疗是目前治疗该病的主要手段.本文报道1例原发性肛管直肠恶性黑色素瘤合并结肠多发息肉患者,旨在提高临床医师对此疾病的认识,以及为该病的诊治提供参考,避免误诊及漏诊.

Abstract

Anorectal malignant melanoma is a rare,highly aggressive,and poorly prognostic malignancy,accounting for 0.2%to 3%of all malignant melanomas,with a slight preponderance in middle-aged and elderly women.The clinical inci-dence of anorectal malignant melanoma is low,but the misdiagnosis rate is high.It is prone to early metastasis and is often diagnosed in the advanced stage with poor prognosis.Surgical resection combined with chemotherapy,immuno-therapy,and targeted therapy are currently the main treatment modalities for this disease.This article reports a case of primary anorectal malignant melanoma with multiple polyps in the colon,aiming to raise awareness of this disease and provide a reference for its diagnosis and treatment,avoiding misdiagnosis and missed diagnosis.

关键词

恶性黑色素瘤/肛管直肠/结肠多发息肉

Key words

malignant melanoma/anus and rectum/multiple polyps in the colon

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出版年

2024
结直肠肛门外科
广西医科大学

结直肠肛门外科

CSTPCD
影响因子:0.957
ISSN:1674-0491
参考文献量10
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