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作者曾收治一例罕见的胆管恶性黑色素瘤患者,系一58岁男性,主诉右上腹和剑突下区不适、搔痒和黄疸,于1988年10月7日住入Si Rita医疗中心,剖腹手术时见胆囊内壁有一3.5×1.0 cm大小的黑色肿块,从胆总管末端也取出黑色块物,作胆囊切除和胆总管T管引流。病理切片证实为胆囊和胆总管恶性黑色瘤。术后6天转入作者所在的Ohio医学院附属医院作Whipple胰十二指肠切除,同时还切除了一空肠血管瘤,无淋巴结或腹膜浸润。恢复顺利,术后已生存2年。绝大多数恶性黑色素瘤源自皮肤、鳞状细胞粘膜、视网膜和软脑膜,但可转移至体内任何器官,尸解中
The author had treated a rare case of malignant melanoma of the bile duct, a 58-year-old man who complained of discomfort, itching, and jaundice in the right upper abdomen and subxiphoid area. He was admitted to the Si Rita Medical Center on October 7, 1988, during laparotomy. The gallbladder wall has a black mass of 3.5 x 1.0 cm in size, and a black mass is removed from the end of the common bile duct for cholecystectomy and drainage of the common bile duct T-tube. Pathological sections confirmed gallbladder and common bile duct malignant melanoma. Six days later, the patient was transferred to the affiliated hospital of the Ohio Medical School for Whipple’s pancreatoduodenectomy. At the same time, a jejunal hemangioma was removed and no lymph node or peritoneal infiltration was performed. Recovery is successful and has survived for 2 years after surgery. The vast majority of malignant melanomas originate from the skin, squamous cell membranes, retina and pia mater, but can be transferred to any organ in the body.