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不同手术方式选择对鼻腔、鼻窦恶性黑色素瘤预后的影响 被引量：3

Effect of different surgical options on the prognosis of sinonasal malignant melanoma
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摘要 目的探讨不同手术方式对鼻腔、鼻窦恶性黑色素瘤预后的影响,提高鼻腔、鼻窦恶性黑色素瘤患者的生存率。方法回顾性分析12例原发性鼻腔、鼻窦恶性黑色素瘤患者的临床表现、诊断、不同手术方式的选择及随访结果。结果 12例完整随访病例中,10例接受以手术为主治疗。鼻内镜手术(术式一)3例:1年生存率为100.00%(3/3),2年生存率为33.33%(1/3),5年生存率为0.00%(0/3);鼻内镜辅助鼻侧切开术(术式二)7例:1年生存率为100.00%(7/7),2年生存率为71.43%(5/7),5年生存率为28.57%(2/7)。术后患者中4例(40.00%)出现局部复发,6例(60.00%)出现远处转移。结论采用鼻内镜辅助鼻侧切开术治疗鼻腔、鼻窦恶性黑色瘤的术后生存率较高,是较好的术式选择之一。 Objective To investigate the prognosis of different surgical options in patients with sinonasal malignant melanoma （SMM）. Methods Twelve SMM cases were analyzed retrospectively with clinical manifestations, diagnosis, treatment and follow-up results. Results Among 12 cases of complete follow-up cases, 10 patients received treatment based on surgery. Three cases were treated by endoscopic sinus surgery （surgical one）：The 1-, 3-, and 5-year survival rates were 100.00%, 33.33%, and 0.00%. The other seven cases were treated by nasal endoscopic assisted lateral rhinotomy （surgical two）：The 1-, 3-, and 5-year survival rates were 100.00%, 71.43%, and 28.67%. The cases of local recurrence and distant metastasis were 4 and 6. Conclusions SMM is a rare malignant tumor with poor prognosis. Extensive, thorough first operation resection is the treatment of the key, nasal endoscopic assisted lateral rhinotomy is a better selection of operation.
作者 吴劲峰 汤建国
机构地区 浙江大学医学院附属邵逸夫医院耳鼻咽喉科 浙江大学 歙县人民医院耳鼻咽喉科
出处 《全科医学临床与教育》 2012年第1期22-24,共3页 Clinical Education of General Practice
关键词 鼻肿瘤 恶性黑色素瘤 预后 nose neoplasms malignant melanoma prognosis
分类号 R739.62 [医药卫生—肿瘤]
  • 相关文献

参考文献6

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二级参考文献12

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共引文献23

同被引文献33

  • 1金艳霞,许冰,王阿樱,刁群超,张肇慧,王景林.原发性脊髓恶性黑色素瘤1例报告并文献复习[J].中国误诊学杂志,2005,5(11):2009-2011. 被引量：17
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全科医学临床与教育
2012年 第1期

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