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相關文獻
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題 名 | 無黑色素性黑色素瘤=Amelanotic Melanoma |
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作 者 | 邱坤偉; 鍾沛霖; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 21:2 2003.06[民92.06] |
頁 次 | 頁187-191 |
分類號 | 415.78 |
關鍵詞 | 無黑色素; 黑色素瘤; Melanoma; Amelanotic; |
語 文 | 中文(Chinese) |
中文摘要 | 皮膚無黑色素性黑色素瘤在臨床上易與其他良性或惡性皮膚病灶混淆,使臨床醫師常無法在第一時間診斷出此惡性腫瘤。在此我們報告一四十四歲男性,右腳大姆趾出現逐漸擴大且長達三個月不癒合的潰瘍。病理下,腫瘤細胞成巢狀或束狀侵入真皮層及皮下組織,免疫化學法染HMB-45為陽性反應。核醫學顯示病人有右鼠蹊部淋巴結轉移現象。病人接受右側大姆趾截肢手術及右鼠蹊部淋巴摘除手術。我們除了報告此一病例,並回顧文獻,希望能提醒臨床醫師提高警覺。 |
英文摘要 | Cutaneous amelanotic melanoma is easily confused with some benign or malignant skin lesions in clinical. It can not be diagnosed by physician at first visit. We report a 44-year-old man, who suf- fered from a non-healing, progressively enlarging ulcer located on right great toe for 3 months. Histopathologically, it shows infiltrating nests or trabecules of pleomorphic cells in dermis and subcu- taneous tissue. Immunohistochemical study reveals positive staining for HMB-45. Radionuclear study shows metastasis of right inguinal lymph node. The patient received amputation surgery of right great toe and right inguinal lymph node dissection. We review literatures and report this uncommon case to call attention for this condition. |
本系統中英文摘要資訊取自各篇刊載內容。