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转移性黑色素瘤在小肠中引起肠:一个病例报告
Sonakshi Nemchand1, Ling Fung Chan1, Sivakumaran Sabanathan1
1General Surgery, Wrexham Maelor Hospital, Wrexham, GBR.
Cureus
|November 28, 2025
概括
转移性黑色素瘤可能会导致罕见的双部位小肠内,即使在缓解后. 通过CT扫描和手术切除进行早期诊断对于患者的康复和改善结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 肠接涉及肠道望远镜,可能导致阻塞,缺血和穿孔.
- 恶性黑色素瘤通常会转移到胃肠道,特别是小肠道.
研究的目的:
- 报告一种由转移性恶性黑色素瘤引起的罕见的双部位小肠内肠.
- 为了突出胃肠道黑色素瘤转移的潜伏表现,免疫疗法后缓解.
主要方法:
- 一个54岁的男性,有转移性黑色素瘤病史的病例介绍.
- 诊断证实使用计算机断层扫描 (CT) 扫描腹部和骨盆.
- 治疗包括探索性腹腔切除术,小肠切除和初级解剖.
主要成果:
- 这位患者出现了小肠阻塞的症状,这是继输肠接后的第二次症状. 在两个位置.
- 组织病理学证实了转移性恶性黑色素瘤透到切除的肠道段.
- 患者在手术后完全康复,切除边缘明显.
结论:
- 转移性黑色素瘤可以呈现为输入,即使在免疫治疗后缓解的患者中也是如此.
- CT成像对于诊断胃肠道黑色素瘤转移的诊断至关重要.
- 手术切除既具有诊断和治疗作用,强调了黑色素瘤幸存者长期随访的必要性.
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