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女阴恶性黑色素瘤甚为罕见,1978年Silvers复习文献仅见400例,黑人和亚洲人少见。我院自1954～1984年间共收治外阴恶性肿瘤64例,仅见恶性黑色素瘤4例,其中1例未治,余3例报告如(附表)。讨论女阴恶性黑色素瘤恶性度极高,可发生在青年或老年,但以老年多见,年龄以60～70岁为高峰,平均为50余岁。本病多半由色痣恶变而来,慢性刺激及外伤(如电灼、腐蚀、不完整切除等)均为恶变的诱因。本文3例病变均较典型,炭黑色肿瘤与周围组织分界清楚,伴有卫星病灶。例1术前曾作
Female malignant melanoma is rare. In the review of Silvers in 1978, there were only 400 cases. Blacks and Asians were rare. In our hospital, 64 cases of malignant tumors of the vulva were treated from 1954 to 1984. There were only 4 cases of malignant melanoma. One of them was untreated, and the remaining 3 cases were reported (schedule). Discussion Female malignant melanoma is extremely malignant and can occur in young or old age, but it is more commonly seen in the elderly. The peak age is 60 to 70 years old and the average is more than 50 years old. Most of the disease is caused by malignancy, chronic stimulation and trauma (such as electrocautery, corrosion, incomplete resection, etc.) are all causes of malignant transformation. In this paper, the lesions in 3 cases were all typical. The boundary between the carbon black tumor and the surrounding tissue was clear, with satellite lesions. Example 1 was done before surgery