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腹腔镜保留腹腔镜侧淋巴结清扫术治疗肛肠癌
DOI：
10.1111/ases.12219
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发表时间：
2016
影响因子：
1
通讯作者：
Ｍａｔｓｕｄａ Ｋ ｅｔ ａｌ
中科院分区：
文献类型：
--
作者：
Uemura M;Kim HM;Hata T;Sakata K;Okuyama M;Takemoto H;Fujii H;Fukuzaki T;Morita T;Hata T;Takemasa I;Satoh T;Mizushima T;Doki Y;Mori M; Multi-Center Clinical Study Group of Osaka;Colorectal Cancer Treatment Group (MCSGO)..;Ｍａｔｓｕｄａ Ｋ ｅｔ ａｌ
肛门直肠黑色素瘤是一种罕见的癌症，预后不佳，对局部放射治疗或全身化疗反应不佳，手术是主要治疗方法。在这里，我们提出一个病例的肛门直肠黑色素瘤的侧方和腹股沟淋巴结转移。一名61岁女性患者出现直肠出血。结肠镜检查发现肛门直肠有一个黑色肿瘤并有溃疡。CT扫描显示肛门直肠肿瘤伴有左侧淋巴结肿大和右侧腹股沟淋巴结肿大。我们施行了腹会切除联合侧方淋巴结清扫术和右侧腹股沟淋巴清扫术。初次手术一年后，观察到肺转移，并进行了肺切除。肺切除后，发生脑转移，并进行了手术切除。尽管病情复发，但患者自最初手术以来已经存活了52个月，并继续接受全身化疗。
Because anorectal melanoma, a rare cancer with a poor outcome, does not respond well to local radiation therapy or systemic chemotherapy, surgery is the primary treatment. Herein, we present a case of anorectal melanoma with lateral and inguinal lymph node metastases. A 61‐year‐old woman presented with rectal bleeding. Colonoscopy revealed a black tumor with ulceration in the anorectum. A CT scan revealed an anorectal tumor with left lateral lymph node swelling and right inguinal lymph node swelling. We performed a laparoscopic abdominoperineal resection with lateral lymph node dissection and right inguinal lymph node dissection. One year after the initial operation, pulmonary metastases were observed, and pulmonary resection was performed. After the pulmonary resection, brain metastases developed, and surgical resection was performed. Despite the recurrence of disease, the patient has survived for 52 months since the initial surgery and continues to receive systemic chemotherapy.