肺原发性恶性黑色素瘤伴多器官转移1例报告并文献复习  

Multiple organ metastasis complicated by Primary Malignant Melanoma of theLung:one case report and literature review

作　　者：冯友权[1] 

机构地区：[1]广东医学院附属医院放射科,广东湛江524001

出　　处：《中国误诊学杂志》2005年第7期1210-1212,共3页Chinese Journal of Misdiagnostics

摘　　要：目的:探讨肺原发性恶性黑色素瘤的临床和CT特点。方法:报告1例肺原发性恶性黑色素瘤的详细临床及CT资料,并结合文献,对该罕见病的临床和CT表现等做一复习。结果:CT显示肺原发瘤边缘分叶状改变,肺原发瘤和肝、脾转移瘤易发生坏死、囊变,纵隔淋巴结及肺转移瘤以多发结节状病灶为主,增强扫描肝、脾脏转移瘤多呈“牛眼征”。结论:CT有助于肺原发性恶性黑色素瘤的诊断。Objective:To study the clinical and CT characteristics of Primary Malignant Melanoma of the Lung.Methods:The detailed clinical and CT data of a case of Primary Malignant Melanoma of the Lung were reported and the literatureabout Primary Malignant Melanoma of the Lung was reviewed.Results:CT showed that the brink of the pulmonic primary melanomas presented divided leaf sign,the hepatic and splenic metastasis tumors were susceptible to necrosis and cystoid change.The mediastinal lymph node and pulmonic metastasis tumors demonstrated mainly multiple nodosity images,andthe hepatic and splenic metastasis tumors demonstrated 'cattle eye' sign in the enhanced CT scanning.Conclusion:CT scanning could be helpful in the diagnosis of primary malignant melanoma of lung, and could distinguish it from the metastatic malignant melanoma to some extent.

关 键 词：肺肿瘤/病理学 黑色素瘤/继发性 体层摄影术 肿瘤转移/放射摄影术 

分 类 号：R734.2[医药卫生—肿瘤]