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南充地区恶性黑色素瘤115例的临床病理特点分析
引用本文:谢贤镛,周继雍,黄一凡. 南充地区恶性黑色素瘤115例的临床病理特点分析[J]. 川北医学院学报, 2004, 19(4): 205-207
作者姓名:谢贤镛  周继雍  黄一凡
作者单位:川北医学院病理学教研室,四川,南充,637007
摘    要:
目的探讨南充地区恶性黑色素瘤的临床病理特点。方法对我院1974年-2002年间经病理确诊的恶性黑色素瘤115例进行临床病理分析。结果115例中,男62例,女53例。年龄最大79岁,最小4岁,平均51.25岁。高发年龄为40-70岁,共90例,占78.26%。发生在皮肤50例,粘膜50例,其他部位15例。发生在皮肤者以足部为多(22/50),发生在粘膜者以鼻腔为多(22/50)。肿瘤直径2-4cm共76例,占66.09%。镜下易见色素(89例,占77.39)。临床误诊和待诊率达85.22%。结论南充地区恶性黑色素瘤多见于40-70岁。皮肤和粘膜的发生率无差异,皮肤以足部为多,粘膜以鼻腔常见。肿瘤直径2-4cm为多,镜下以色素性为主,临床易误诊。

关 键 词:恶性黑色素瘤  临床病理
文章编号:1005-3697(2004)04-0205-02
修稿时间:2004-09-30

Cliniealpathologieai Features in Malignant Melanoma in Nanchong District An Analysis of 115 Cases
Xie Xian-yong,Zhou Ji-yong,Huang Yi-fan. Cliniealpathologieai Features in Malignant Melanoma in Nanchong District An Analysis of 115 Cases[J]. Journal of North Sichuan Medical College, 2004, 19(4): 205-207
Authors:Xie Xian-yong  Zhou Ji-yong  Huang Yi-fan
Abstract:
Objective:To describe features in malignant melanoma.Method Analysis of 115 cases with malignant melanoma during 1974-2002 by pathological diagnosis.ResultOut of 115 cases,62 are in male,53 in female; the oldest is 79 years of age,the youngest 4,and average years of age is 51.25 ; the high incidence ranges from 40 to 70,and accounts for 78.26 percent out of the tatal 90 cases,50 cases are in skin (often in foot accounting for 22/50),50 cases in mucosa (often in nasal cavities accounting for 22/50)and 15 cases in other sites.The tumors are 2-4cm in diameter in 76 cases,accounting for 66.09 percent; The melanins in 89 cases are visible under microscope,accounting for 77.39 percent.The rate of clinical misdiagnosis and awaiting diagnosis reaches 85 22 percent.Conclusion The cases with malignant melanome range from 40 to 70 years of age in Nanchong Dstrict:There is no difference in incidence between in skin and in mucosa.The melanomas of skin are most often in foot while the melanomas of mucosa most often in nasal cavities.The tumors are 2-4cm diameter,and the melanins are visible under microscope.Misdiagnosis is often made.
Keywords:Malignant melanoma clinicopathology
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