四川医学Issue(3)：286-290,5.DOI:10.16252/j.cnki.issn1004-0501-2015.03.007
22例肛管直肠恶性黑色素瘤临床分析
Retrospective Analysis of 22 Cases of Anorectal Malignant Melanoma
摘要
Abstract
Objective Analysis the clinical features,colonoscopy performance,pathological features and the diagnosis and treatment of Anorectal malignant melanoma( AMM). Methods Analysis 22 hospitalized cases of AMM from April 2009 to Octo-ber 2014 in West China Hospital of Sichuan University. Summary of the patient's medical history, clinical symptoms,colonoscopy, laboratory examination and treatment,the statistical follow-up results and review of the literature. Result In all 22 cases,14 fe-males,8 males,Male to female ratio was 1:1. 75,Age of onset 53-79 years old,The average Age of onset 62. 9 years old. The main complaint of an AMM patient is not specific. Most chief complaint is bleeding 86. 3%(19/22). Under colonoscopy manifestation, can be single or multiple bumps,with surface ulceration,some may have pigmentation. No special effects of treatment methods,sur-gical resection is now the preferred treatment of AMM,but the choice of surgical approach is controversial. In Conclusion Ano-rectal malignant melanoma( AMM) is a very rare and aggressive disease Clinical characteristics and the performance of the colonos-copy lack of specificity. Susceptible to delays in diagnosisand Early may occurs metastasis. 5-year survival rate is low. Diagnosis requires pathological staining results. Currently there is no standardized treatment guidelines of AMM. Clinician awareness of the disease needs to be improved.关键词
肛管/直肠/恶性黑色素瘤/临床特点/肠镜表现/诊治Key words
anus/rectum/malignant melanoma/clinical characteristics/colonoscopy/diagnosis and treatment分类
医药卫生引用本文复制引用
林燕仔,朱林林,刁燕,吴俊超..22例肛管直肠恶性黑色素瘤临床分析[J].四川医学,2015,(3):286-290,5.基金项目
四川省科技支撑计划(编号:2014SZ0002-2) （编号:2014SZ0002-2）
