一例食道浅表原发性恶性黑色素瘤在 0 期时被发现并得到治疗。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2024-11-15 Epub Date: 2024-03-25 DOI:10.2169/internalmedicine.2454-23

Yuzo Toyama, Ryuji Nagahama, Yu Kodama, Izumi Kaieda, Shinjiro Sakai, Gen Maeda, Hidemitsu Nishizawa, Shingo Asahara, Yuji Mizokami

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引用次数: 0

摘要

患者是一名 79 岁的男性。在他初次就诊三年零八个月后，上消化道内窥镜检查发现食管中三分之一处有一个黑色扁平的隆起病灶，活检后诊断为恶性黑色素瘤。未发现淋巴结或远处转移。因此诊断为 cT1bN0M0 I 期。我们在机器人辅助下进行了微创食管切除术和 D2 切除术。术后诊断为pT1a（MM），N0，M0，血管侵犯+，0期。我们认为，积极的活检诊断对于早期发现恶性黑色素瘤非常重要。

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Superficial Primary Malignant Melanoma of the Esophagus Detected and Treated at Stage 0.

The patient was a 79-year-old male. At three years and eight months after his initial presentation, upper gastrointestinal endoscopy revealed a black-flattened elevated lesion in the middle third of the esophagus, which was diagnosed as malignant melanoma on biopsy. No lymph node or distant metastasis was found. A diagnosis of cT1bN0M0 Stage I was thus made. We performed a robot-assisted, minimally invasive esophagectomy and D2 dissection. The postoperative diagnosis was pT1a-MM, N0, M0, vascular invasion+, stage 0. The patient was recurrence-free for 14 months after surgery. We presume that an aggressive biopsy diagnosis is important for the early detection of malignant melanoma.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.