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作 者:孙英男 陈一飞 杨聪颖 曹芳 彭娅[2] SUN Yingnan;CHEN Yifei;YANG Congying;CAO Fang;PENG Ya(Department of Digestive Diseases;Hunan Provincial People’s Hospital)
机构地区:[1]湖南省肿瘤医院内镜中心,湖南长沙410013 [2]湖南省人民医院消化内科,湖南师范大学,湖南长沙410005
出 处:《生命科学仪器》2020年第1期49-51,48,共4页Life Science Instruments
摘 要:背景:消化系统原发性恶性黑色素瘤非常罕见,恶性程度高,早期即可发生淋巴结转移和远处血道转移,目前无有效治疗方法,预后极差。目的:胃镜结合临床症状和病理检查用于早癌筛查。方法和结果:通过胃镜结合组织病理及免疫组化特异性标志物检测对其进行确诊,并对相关文献进行复习和分析,确诊了1例胃体部原发性恶性黑色素瘤伴全身性转移病例。结论:本病例提示我们,胃镜检查可以纳入到健康人群常规体检范围,以便可以更早地发现胃肠道罕见的恶性疾病。Background:The primary malignant melanoma of the digestive system is very rare,usually,which were accompanied by lymph node metastasis and distant metastasis in the early stage.At present,the etiology is unknown,there is no effective therapy method,and the prognosis is very poor.Objective:To obtain the early cancer screening by gastroscopy combined with clinical symptoms and pathological examination.Methods and Results:In this case,a primary malignant melanoma was reported where it is in the gastric body.The diagnosis was confirmed by gastroscopy combined with histopathology and immunohistochemical specific markers.The relevant literature was reviewed for reference.Conclusion:This case suggests that gastroscopy can be included in the routine physical examination of healthy people,so as to find the rare malignant diseases of gastrointestinal tract earlier.
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