国际肿瘤学杂志 ›› 2020, Vol. 47 ›› Issue (6): 377-380.doi: 10.3760/cma.j.cn371439-20191216-00040

• 综述 • 上一篇    下一篇

直肠肛管黑色素瘤的诊治新进展

张睿智, 陈鑫, 张鹏, 陶凯雄()   

  1. 华中科技大学同济医学院附属协和医院胃肠外科,武汉 430022
  • 收稿日期:2019-12-16 修回日期:2020-01-09 出版日期:2020-06-08 发布日期:2020-07-22
  • 通讯作者: 陶凯雄 E-mail:kaixiongtao@hust.edu.cn
  • 基金资助:
    国家自然科学基金(81702386);国家自然科学基金(81874184);华中科技大学自主创新研究基金(2017KFYXJJ230);华中科技大学自主创新研究基金(2017KFYXJJ256);希思科-豪森肿瘤研究基金(Y-HS2019-38)

New progress on diagnosis and treatment of anorectal malignant melanoma

Zhang Ruizhi, Chen Xin, Zhang Peng, Tao Kaixiong()   

  1. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2019-12-16 Revised:2020-01-09 Online:2020-06-08 Published:2020-07-22
  • Contact: Tao Kaixiong E-mail:kaixiongtao@hust.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81702386);National Natural Science Foundation of China(81874184);Huazhong University of Science and Technology Independent Innovation Research Fund(2017KFYXJJ230);Huazhong University of Science and Technology Independent Innovation Research Fund(2017KFYXJJ256);Xisike-Hansoh Cancer Research Fund(Y-HS2019-38)

摘要:

直肠肛管黑色素瘤(ARMM)是一类起源于直肠肛管区域黏膜上皮的罕见恶性肿瘤,临床表现不典型,误诊漏诊率高。根治性手术是ARMM治疗的核心手段,尽管随着对疾病了解的深入,包括靶向治疗、免疫治疗在内的多种治疗手段得以应用于ARMM,但缺少精准的临床分级分期标准指导,ARMM的整体预后依旧较差。

关键词: 黑色素瘤, 直肠, 肛管, 诊断, 治疗

Abstract:

Anorectal malignant melanoma (ARMM) is a rare malignant melanoma arising from mucosa in anorectal area. Symptoms and signs of ARMM are not specific, causing high misdiagnosis rate in this disease. Cornerstone treatment of ARMM is radical excision. Although more systematic therapy including target therapy and immunotherapy have been applied to ARMM, as the understanding of ARMM deepens. The overall prognosis of ARMM is still poor due to the lack of accurate clinical classification and staging standards.

Key words: Melanoma, Rectum, Anal canal, Diagnosis, Therapy