糖尿病足截趾术后残端并发黑色素瘤一例  

A case of malignant melanoma occurring in the diabetic foot amputation site

作　　者：王淑敏[1] 顾俊义[1] 顾雪明[1] 沈亚萍[1] 汤正义[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院内分泌代谢病科、上海市内分泌代谢病临床医学中心、上海市内分泌代谢病研究所,200025

出　　处：《中华内分泌代谢杂志》2016年第11期956-958,共3页Chinese Journal of Endocrinology and Metabolism

摘　　要：69岁女性患者，因糖尿病足右拇趾截趾术后残端肿块伴疼痛9个月余就诊。诊断为糖尿病足，恶性黑色素瘤。经过手术切除加术后化疗、改善微循环、营养神经、抗感染等治疗后，创面愈合。病例提示对糖尿病足截趾术后残端并发黑色素瘤应及时诊断，经内外科综合治疗能取得较好效果。[Summary] A 69-year-old female patient was diagnosed as diabetic foot（ DF） and malignant melanoma. The situation was well controlled with incision of the tumor and subsequent medical therapy. The treatments of improving microcirculation, anti-infection as well as neurotrophic therapy accelerate wound healing. This case indicated that early and timely diagnosis makes this kind of patients have better prognosis.

关 键 词：糖尿病足 截趾 恶性黑色素瘤 

分 类 号：R587.2[医药卫生—内分泌] R739.5[医药卫生—内科学]