周围的消极性恶性黑色素瘤和与无法控制疾病的轨道入侵:一个案例报告
Celia Ruiz-Arranz1, Álvaro Bengoa-González1, Marcelo Bencomo-Villegas2
1Department of Ophthalmology, 12 de Octubre Hospital, Complutense University, Madrid, ESP.
Cureus
|June 18, 2024
概括
乳性黑色素瘤 (DM) 是一种罕见的皮肤癌变体. 这一案例凸显了治疗周期性DM的挑战,涉及广泛的手术和重建,最终会转移.
科学领域:
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
- 皮肤病学 皮肤病学
背景情况:
- 主要轨道黑色素瘤和转移到轨道的皮肤黑色素瘤是罕见的实体.
- 脱性黑色素瘤 (DM) 是一种罕见的黑色素瘤变体,以神经向性侵袭深层组织而闻名.
- 周眼皮肤黑色素瘤带来了重大的重建挑战,可能会影响眼睛的结构和功能.
研究的目的:
- 报告一个具有挑战性的周期性脱质黑色素瘤与轨道入侵的病例.
- 描述广泛的周期性恶性黑色素瘤的手术和重建管理.
- 讨论轨道区域中晚期脱质黑色素瘤的临床过程和结果.
主要方法:
- 一名78岁的男性患有晚期期皮质脱性黑色素瘤,经历了扩展的轨道切除,大切除和切除.
- 延迟的轨道重建是通过穿轨方法使用肌进行的.
- 评估了手术边缘,并监测了患者的无疾病间隔和生活质量.
主要成果:
- 最初的手术实现了2厘米的宏观手术边缘,患者在重建后1.5年内保持无病状态.
- 在部痕区域出现了复发,随后发生了轨道入侵.
- 这位患者最终 succumbed 广泛的转移性疾病涉及中,多,和肺.
结论:
- 周期性脱质黑色素瘤的治疗需要积极的手术切除和复杂的重建.
- 尽管最初的治疗成功,但晚期病例具有高复发和远程转移的风险.
- 这一案例凸显了脱质黑色素瘤的攻击性和在眼周区域实现长期控制的困难.
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