التفاصيل البيبلوغرافية
العنوان: |
Desmoplastic Melanoma |
المؤلفون: |
Payne, Wyatt G., Kearney, Robert, Wells, Karen, Blue, Martin L., Walusimbi, Mbaga S., Mosiello, Gerald, Cruse, C. W., Reintgen, Douglas |
المصدر: |
Mbaga S. Walusimbi |
بيانات النشر: |
SelectedWorks |
سنة النشر: |
2014 |
المجموعة: |
Wright State University: CORE Scholar (Campus Online Repository) |
مصطلحات موضوعية: |
Surgery, Medical Specialties, Medicine and Health Sciences |
الوصف: |
Desmoplastic melanoma is an uncommonly encountered variant of malignant melanoma. Three histological subtypes exist: desmoplastic, neurotropic, and neural transforming. Desmoplastic melanoma commonly presents in conjunction with existing melanocytic lesions or as an amelanotic firm nodule. Local recurrences are common. Thirty patients over a 6-year period were treated at our institution for desmoplastic melanoma. All lesions were treated with local excision. Local recurrence occurred in seven patients (23%) and was treated by aggressive re-excision in each instance. Clinical regional metastasis (lymph nodal basins) were detected in two patients (6%). Distant metastasis (lung) developed in two patients (6%). Twenty-three patients (76%) were found to have desmoplastic subtype, whereas five (17%) had neurotropic subtype. Six patients (20%) had associated pigmented melanotic lesions. Average length of follow-up has been 18 months. Overall survival is 96 per cent. Presentations and histologic diagnosis can sometimes be difficult and misleading. Treatment is aggressive local excision with follow-up necessary to detect resectable recurrent lesions. |
نوع الوثيقة: |
text |
اللغة: |
unknown |
العلاقة: |
https://works.bepress.com/mbaga_walusimbi/18Test |
الإتاحة: |
https://works.bepress.com/mbaga_walusimbi/18Test |
رقم الانضمام: |
edsbas.F818ABE |
قاعدة البيانات: |
BASE |