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作者报告1960～1982年,对在维吉利亚医科大学诊治的140例头颈部皮肤黑色素瘤中83例资料完整者作了有关影响预后因素的分析。男性36例,女性47例,年龄13～84岁,中数56岁。Ⅰ期81%,Ⅱ期7%,Ⅲ期12%。原发部位:面部32例,颈部18例,耳12例,头皮21例。61例临床Ⅰ期作局部广泛切除,其中26例作选择性淋巴结清扫(1例有镜下转移),根治性淋巴结清扫11例(6例有淋巴结转移)。1977年前治疗者一般均作根治性颈清扫,此后即作改良的选择性颈清扫,Ⅱ期常作根治性颈清扫。
From 1960 to 1982, the authors reported analysis of 83 factors affecting prognostic factors in 140 cases of head and neck melanoma diagnosed at the Virginia Medical University. There were 36 males and 47 females, aged 13 to 84 years and median 56 years. 81% of phase I, 7% of phase II, and 12% of phase III. Primary sites: 32 cases of face, 18 cases of neck, 12 cases of ear, and 21 cases of scalp. Sixty-one patients underwent extensive local resection at stage I. Among them, 26 patients underwent elective lymph node dissection (one case had microscopic metastases) and radical lymph node dissection in 11 patients (6 patients had lymph node metastases). Before treatment in 1977, all patients were treated with radical neck dissection, and then improved selective neck dissection was performed. In stage II, radical neck dissection was often performed.