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目的:探讨鼻腔恶性黑色素瘤的诊断和治疗方法。方法:对9例鼻腔恶性黑色素瘤的临床资料进行回顾性分析。结果:该病好发于鼻腔外侧壁和鼻中隔,应与鼻腔癌、血管瘤及鼻息肉相鉴别,其病理特点为肿瘤细胞中有典型的黑色素小体。9例均行鼻侧切开术切除肿瘤。术后1年、2年及3年生存率分别为7/9、3/9和1/9。结论:病理组织学检查是确诊鼻腔恶性黑色素瘤的主要方法,手术广泛切除肿瘤则为主要的治疗方法。
Objective: To investigate the diagnosis and treatment of nasal malignant melanoma. Methods: Nine cases of nasal malignant melanoma were retrospectively analyzed. Results: The disease occurs in the lateral nasal septum and nasal septum, nasal cancer, hemangiomas and nasal polyps should be differentiated, the pathological features of typical melanoma cells in tumor cells. Nine patients underwent nasal incision resection of the tumor. The 1-year, 2-year and 3-year survival rates were 7 / 9,3 / 9 and 1/9 respectively. Conclusion: Histopathological examination is the main method for the diagnosis of malignant melanoma in nasal cavity. Surgical resection of tumor is the main treatment.