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一个"buckshot"转移性黑色素瘤病例:一种罕见且具有攻击性的皮肤传播模式

Nicole Werpachowski¹, Caroline Carr²

¹Lenox Hill Hospital, Northwell Health, New York, USA.

SAGE open medical case reports

|December 11, 2025

概括

转移性黑色素瘤甚至可以发生在负的哨兵淋巴结活检后. 这一案例凸显了对高风险黑色素瘤患者的勤奋随访的关键需求,以检测晚期复发.

科学领域:

在瘤学瘤学.
皮肤病学皮肤病学
手术病理学手术病理学

背景情况:

黑色素瘤是一种具有高死亡率的侵袭性皮肤癌.
早期检测对于改善患者的治疗结果至关重要.
哨兵淋巴结活检 (SLNB) 是黑色素瘤的一个关键分期程序.

研究的目的:

要呈现一个转移性黑色素瘤病例,负SLNB.
审查与黑色素瘤阶段化和复发风险有关的当前SLNB指南.
强调长期患者随访的重要性.

主要方法:

案例报告的呈现方式.
审查当前文献和关于黑色素瘤SLNB的指导方针.
临床表现和治疗影响的分析.

主要成果:

一名患有原发性侵袭性黑色素瘤和阴性SLNB的患者发生了转移性疾病.
转移出现在头部和部区域,呈现出一种"反射"模式.
该案挑战了仅基于初始节点状态的假设.

结论:

阴性SLNB并不完全排除未来黑色素瘤转移的可能性.
高风险黑色素瘤患者需要持续和长期的随访,无论最初的SLNB结果如何.
临床警和遵守随访协议对于管理黑色素瘤复发至关重要.

关键词:

布雷斯洛的厚度是什么克拉克级别的入侵.在TNM中分阶段.黑色素瘤是一种黑色素瘤.转移转移转移转移复发性复发性复发性哨兵淋巴结活组织检查

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