Evaluation of diagnosis and treatment of colorectal malignant melanoma
- VernacularTitle:直肠肛管恶性黑色素瘤的诊治
- Author:
Haobo ZHANG
;
Guoguang FENG
;
Hongzhi ZOU
- Publication Type:Journal Article
- Keywords:
Colorectal malignant melanoma;
Colorectal neoplasms;
Diagnosis;
Treatment
- From:
Journal of Clinical Surgery
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the symptoms, diagnosis, treatment and prognosis of colorectal malignant melanoma.Methods Six cases of colorectal malignant melanoma diagnosed and treated in our department between 1981 and 1996 were reviewed and underwent follow-up.Results All cases had masses that could be found near dentate line in digital examination and were black or brown in color. All patients underwent operations ,operations abdomino-perineal resection for 2 cases, post pelvic excision for 2 cases, enlarged local resection for 1 case and laporotomy for 1 case.Either lymph node metastasis or liver metastasis were found prior to or during operation. All patients died within 5~23 months after being diagnosed, with average survival time of 14.7 months.Conclusions Colorectal malignant melanoma was rare and was highly of malignant with tendency of early metastasis and poor prognosis. Radical surgery combined with chemotherapy, immunotherapy and biotherapy may be effective.