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在作出色素膜黑色素瘤诊断时,转移的发生率是近来争论的主题。Zimmerman等申称首次检查时,色素膜黑色素瘤转移的不多于0.5%,并眼球摘出术后由于转移而死亡者2/3归因于手术扩散的瘤细胞。Manschot等则认为在这些肿瘤进展时,瘤的播种在早期是不可避免的,而且是引起术后转移死亡的原因。作者认为假若要解决围绕色素膜黑色素瘤有无发展和治疗的争论,必须确定在作出诊断时其转移瘤的发生率。为此目的,对眼黑色素瘤病人打算摘出眼球时,需要彻底估价确定有无转移存在。
The incidence of metastasis is the subject of recent controversy in making pigmented melanoma diagnoses. Zimmerman et al. Claimed that no more than 0.5% of pigmented melanoma metastases at initial examination, and 2/3 of all those who died of metastases after enucleation of the eyeball were attributed to surgically-disseminated tumor cells. Manschot et al conclude that tumorigenesis is inevitable in the early stages of tumor progression and is the cause of postoperative metastatic death. The authors believe that if the controversy surrounding the development and treatment of pigmented melanoma is to be resolved, the incidence of metastases must be determined at the time of diagnosis. For this purpose, the eye melanoma patient intends to extract the eye, the need for a thorough assessment to determine the presence or absence of metastasis.