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已知黑色素瘤复发后影响生存期的重要因素有复发部位、复发灶数目、治疗方法以及原发灶的厚度等,但对手术治疗后复发类型及其结局则了解不多。在1974～1984年期间,Sloan-Kettering癌肿中心共收治恶性黑色素瘤2469例,其中1019例施行腋或腹股沟淋巴结清扫术,30天后复发403例,多数随访达9个月。复发部位有软组织、淋巴结或内脏。在软组织复发灶中,凡距原发灶≤3cm和>3cm分别列为局部和远处复发。分析结果:在403例复发病例中,男247例,女156,年龄中位值56岁(16～89岁)。原发灶在肢体
It is known that the important factors affecting the survival of melanoma after recurrence are recurrence sites, number of recurrent lesions, treatment methods, and thickness of primary lesions, but little is known about the types and outcomes of recurrence after surgical treatment. Between 1974 and 1984, 2469 cases of malignant melanoma were treated at the Sloan-Kettering Cancer Center. Among them, 1019 cases performed orbital or inguinal lymph node dissection. After 30 days, 403 cases relapsed. The majority of follow-ups reached 9 months. The recurrence site has soft tissue, lymph nodes or internal organs. In recurrent foci of soft tissues, local and distant recurrences were classified as ≤3cm and >3cm from the primary lesion. Analysis results: Of 403 recurrent cases, 247 were male and 156 female, with a median age of 56 years (16-89 years). Primary lesion in the limb