- 期刊
Malignant Melanoma in a Patient with Oculocutaneous Albinism-A Case Report
白化症病患罹患惡性黑色素瘤之病例報告
摘要
背景：惡性黑色素瘤發生在白化症病人是非常罕見，其中亞洲人又更罕見。目的及目標：一個白化症病患在左下腹有一個粉紅色凸起的痣已經一年，切片報告證實是惡性黑色素瘤。材料與方法：此病患經全身檢查後並無轉移性病灶，施行廣泛性切除和術中哨兵淋巴結的定位。結果：此病患經過三年追蹤，並無復發及遠端轉移現象。結論：針對白化症病患，常因惡性病灶與良性病灶，肉眼無法做區分。早期的診斷，防曬及治療癌前病灶是延長壽命的重要方向，且若有可疑病灶，應及早手術介入。
關鍵字
無資料並列摘要
Background:Malignant melanomas in patients with albinism are rare, with only a few cases having been reported to date.Aim and objectives:A pink mole lesion that had been ignored for one year was noted on the lower abdominal region in a patient with oculocutaneous albinism. An excisional biopsy revealed a malignant melanoma.Materials and methods:A wide excision combined with sentinel lymph node mapping was done. The work-up study revealed no metastatic lesions.Results:The patient was followed for three years without evidence of local recurrence or metastasis.Conclusion:Early diagnosis, protection from sunlight, and treatment of actinic keratoses and skin cancers in patients with albinism are crucial in assuring their longevity. Evaluation of all suspicious lesions is important in patients with albinism, as they have a strong tendency to develop morphologically confusing malignancies.
延伸閱讀
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