川南地区254例恶性黑色素瘤临床病例分析  

The Clinical Analysis of 254 Cases with Malignant Melanoma in South Sichuan

作　　者：黄丛改[1] 李孟泽[2] 汪少华[1] 刘顺燕[1] 张健[1] 万宇[1] 王洁琼[1] 汪澍[1] 

机构地区：[1]泸州医学院附属医院临床细胞学室,四川泸州646000 [2]泸州市中医医院骨伤科,四川泸州646000

出　　处：《四川医学》2015年第7期1002-1005,共4页Sichuan Medical Journal

摘　　要：目的探讨川南地区恶性黑色素瘤的临床病例特点。方法回顾性分析1998年10月至2014年9月我院收治的恶性黑色素瘤患者,患者来自川南地区,均行组织病理学活检确诊。结果川南地区254例恶性黑色素瘤患者年龄16~87岁,56~65岁的发病率最高为26.8%;近四年的发病率升高了2.3倍;原发部位发生于皮肤者为59.8%,发生于鼻部为15.3%,发生于眼部为8.7%,发生于肛管为7.5%,发生于口腔为3.9%,发生于阴道为2.4%;15位转移复发病例时间间隔0.5~84个月不等,其中超过2年5例,且3例为年轻女性。结论川南地区恶性黑色素瘤发病率呈上升趋势,发病部位广泛,年轻女性预后相对较好。Objective To analyze the clinical characteristics of malignant melanoma in South Sichuan. Methods Retrospective study the patients with malignant melanoma from 1998 October to 2014 September of our hospital in South Sichuan,specimens were make definte diagnesis by histological biopsy. Result In South Sichuan,254 cases of malignant melanoma patients with min age is 16,the max age 87 years old,the incidence rate of 56 ~ 65 with the highest morbidity 26. 8%; the last four years of onset rate increased definite 2. 3 times; the primary site occurred in the skin 59. 8%,15. 3% in nose,8. 7% in eyes,7. 5% manal canal,3. 9% moral cavity,2. 4% in vagina; the 15 cases with metastasis were recurrence intervals of 0. 5 to 84 months,of which,more than 2 years in 5 patients,and 3 cases of young women. Conclusion The incidence rate of malignant melanoma is raising in South Sichuan,the invasion site is extensive,young women have better pragness is relatively.

关 键 词：恶性黑色素瘤 组织病理学 临床病例分析 川南地区 

分 类 号：R739.5[医药卫生—肿瘤]