肛门恶性黑色素瘤1例报告及文献评价

Q4 Medicine
S. Şahin, Önder Özcan, I. Kayilioğlu, Özcan Dere, Cenk Yazkan, İpar Selin Demi̇rci̇, Efe Ünübol, O. Nazlı
{"title":"肛门恶性黑色素瘤1例报告及文献评价","authors":"S. Şahin, Önder Özcan, I. Kayilioğlu, Özcan Dere, Cenk Yazkan, İpar Selin Demi̇rci̇, Efe Ünübol, O. Nazlı","doi":"10.47493/abantmedj.1218184","DOIUrl":null,"url":null,"abstract":"Introduction: Anal malignant melanomas are relatively rare tumors. Because of their polypoid structure, they can be confused with benign anorectal diseases. Wide excision and lymph node dissection is recommended especially in melanomas including lymph node metastasis because it reduces local recurrence.\nCase report: We performed abdominoperineal resection + bilateral inguinal + bilateral iliac + paraaortic lymph node dissection in our 77-year-old female patient with the diagnosis of anal malignant melanoma as a result of colonoscopic biopsy performed on the polypoid mass in the anal canal. Since 2 lymph nodes located outside the pararectal fascia persisted in postoperative MRI, we performed lymph node excision with a posterior approach. And the pathology result of the excision performed in this second session was found to be compatible with metastasis.\nConclusion: Lymph node dissections are beneficial in terms of local recurrence and survival, especially in patients with anal malignant melanoma with lymph node metastases.","PeriodicalId":53622,"journal":{"name":"Duzce Medical Journal","volume":"220 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Rare Case Report: Anal Malignant Melanoma and Evaluation of the Literature\",\"authors\":\"S. Şahin, Önder Özcan, I. Kayilioğlu, Özcan Dere, Cenk Yazkan, İpar Selin Demi̇rci̇, Efe Ünübol, O. Nazlı\",\"doi\":\"10.47493/abantmedj.1218184\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Anal malignant melanomas are relatively rare tumors. Because of their polypoid structure, they can be confused with benign anorectal diseases. Wide excision and lymph node dissection is recommended especially in melanomas including lymph node metastasis because it reduces local recurrence.\\nCase report: We performed abdominoperineal resection + bilateral inguinal + bilateral iliac + paraaortic lymph node dissection in our 77-year-old female patient with the diagnosis of anal malignant melanoma as a result of colonoscopic biopsy performed on the polypoid mass in the anal canal. Since 2 lymph nodes located outside the pararectal fascia persisted in postoperative MRI, we performed lymph node excision with a posterior approach. And the pathology result of the excision performed in this second session was found to be compatible with metastasis.\\nConclusion: Lymph node dissections are beneficial in terms of local recurrence and survival, especially in patients with anal malignant melanoma with lymph node metastases.\",\"PeriodicalId\":53622,\"journal\":{\"name\":\"Duzce Medical Journal\",\"volume\":\"220 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-04-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Duzce Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.47493/abantmedj.1218184\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Duzce Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47493/abantmedj.1218184","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

肛门恶性黑色素瘤是一种较为罕见的肿瘤。由于其息肉状结构,可与良性肛肠疾病混淆。对于包括淋巴结转移的黑色素瘤,建议广泛切除和淋巴结清扫,因为这样可以减少局部复发。病例报告:我们对77岁的女性患者进行了腹会阴切除术+双侧腹股沟+双侧髂+主动脉旁淋巴结清扫术,该患者因肛管息肉样肿块行结肠镜活检诊断为肛门恶性黑色素瘤。由于术后MRI显示2个位于直肠旁筋膜外的淋巴结持续存在,我们采用后路切除淋巴结。第二阶段的病理结果与转移相吻合。结论:淋巴结清扫有利于局部复发和生存,特别是对肛门恶性黑色素瘤伴淋巴结转移的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Rare Case Report: Anal Malignant Melanoma and Evaluation of the Literature
Introduction: Anal malignant melanomas are relatively rare tumors. Because of their polypoid structure, they can be confused with benign anorectal diseases. Wide excision and lymph node dissection is recommended especially in melanomas including lymph node metastasis because it reduces local recurrence. Case report: We performed abdominoperineal resection + bilateral inguinal + bilateral iliac + paraaortic lymph node dissection in our 77-year-old female patient with the diagnosis of anal malignant melanoma as a result of colonoscopic biopsy performed on the polypoid mass in the anal canal. Since 2 lymph nodes located outside the pararectal fascia persisted in postoperative MRI, we performed lymph node excision with a posterior approach. And the pathology result of the excision performed in this second session was found to be compatible with metastasis. Conclusion: Lymph node dissections are beneficial in terms of local recurrence and survival, especially in patients with anal malignant melanoma with lymph node metastases.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Duzce Medical Journal
Duzce Medical Journal Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
59
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信