식도절제 수술을 시행한 식도의 원발성 악성 흑색종 1예 |
박진선·최상조·차충근·신성재·이기명·함기백·김진홍·이성수*·한재호† |
아주대학교 의과대학 소화기내과학교실, *흉부외과학교실, †해부병리학교실 |
A Case of Primary Malignant Melanoma of the Esophagus Treated by Esophagectomy |
Jin Sun Park, M.D., Sang Jo Choi, M.D., Choong Keun Cha, M.D., Sung Jae Shin, M.D., Ki Myung Lee, M.D., Ki-Baik Hahm, M.D., Ph.D., Jin Hong Kim, M.D., ungsoo Lee, M.D.* and Jae Ho Han, M.D.† |
Departments of Gastroenterology, *Thoracic and Cardiovascular Surgery and †Pathology, Ajou University of College of Medicine, Suwon, Korea |
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Abstract |
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A primary malignant melanoma of the esophagus is a very rare disease representing approximately 0.1∼.02% of all esophageal neoplasms and 0.5% of all mucosal melanomas. Despite a surgical resection, a primary malignant melanoma of the esophagus has a poor prognosis, mainly due to the fast development of hematogenous and lymphatic metastases. However, a resection of the tumor appears to be the treatment of choice. Local excision does not prolong the survival of patients. After a radical excision, the mean survival time is 7∼12 months and the estimated 5 year survival is 4.2%. However, after a local excision, the average survival time is 9 months and there is no report of a patient who survived more than 1year. We encountered a 55-year-old woman with a primary malignant melanoma of the esophagus, who underwent a radical esophageal resection with a lymph node dissection. We report this case with a review of the relevant literature. (Korean J Gastrointest Endosc 2006;33:220225) |
Key Words:
Malignant melanoma, Esophagus |
주요어:
악성 흑색종, 식도 |
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