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本文报告我院1962年至1980年6月,共13例肛管直肠恶性黑色素瘤,男性4例,女性9例,其年龄范围为27—67岁,平均年龄47岁。总结本组13例,临床均具有两个特点(肛门直肠肿增;直肠间断性出血)。检查时有三种类型(一是状似拴塞痔,一是肠后有较固定之法节或片状增,一是菜花状或带蒂之蘑菇状)。该类肿瘤,由于部位上的特点,易和痔核、息肉及直肠癌相混,故须提高警惕性,本组13例均经活检手术后,病理方才证实。
This article reports from 1962 to June 1980 in our hospital, a total of 13 cases of anorectal malignant melanoma, 4 males and 9 females, their age range is 27-67 years, mean age 47 years. Summarized in this group of 13 cases, clinical features have two characteristics (anorectal swelling; rectal intermittent bleeding). There are three types of examinations (one is like a fistula, the other is a fixed or flaky post-intestinal mass, and a cauliflower-like or pedicled mushroom). This type of tumor, due to the characteristics of the site, easy and hemorrhoids, polyps and rectal cancer mixed, it should be vigilant, this group of 13 cases were biopsy after surgery, pathology was only confirmed.