黑色素瘤呈现为尿道结核
Julie R Slyby1, Amy K Harper2, Emily R Aldrich3
1Department of Obstetrics and Gynecology, OhioHealth Riverside Methodist Hospital, Columbus, OH.
概括
恶性黑色素瘤可以模仿尿道,这是绝经后妇女常见的良性病变. 早期活检对于诊断罕见的恶性瘤是关键的.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 尿道是常见的,良性部病变通常在绝经后妇女中见到.
- 泌尿生殖道的恶性黑色素瘤很少见,但在这个人口群体中可能发生.
研究的目的:
- 报告一种恶性黑色素瘤病例,呈现为尿道.
- 强调在非典型的形呈现中考虑恶性瘤的重要性.
主要方法:
- 一名73岁的女性怀疑有尿道结核,接受了活检.
- 通过活检证实了差异化恶性黑色素瘤的诊断.
主要成果:
- 患者接受了广泛的局部切除和哨兵淋巴结活检.
- 最终病理确认阶段pT4b N0 (sn) pMx恶性黑色素瘤.
- 手术后开始使用辅助免疫疗法.
结论:
- 恶性黑色素瘤在绝经后妇女中可以呈现为尿道.
- 持久或扩大,不响应治疗的块需要广泛的差异诊断,包括的恶性瘤.
- 对于可疑的尿道卡伦克尔病变,显示了活检.
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