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Laparoscopic abdomino-perineal resection for patients with anorectal malignant melanoma:a report of 4 cases

The Journal of Biomedical Research 2016年第5期30卷 436-440页

作者： Jun Han Chuanbing Shi Xiaogang Dong Jie Wang Hao Wen Baolin Wang Zhenyu He Department of General Surgery the Second Affiliated HospitalNanjing Medical University Department of Pathology the Second Affiliated HospitalNanjing Medical University

anorectal malignant melanoma is a very rare but lethal disease. Patients with anorectal malignant melanoma commonly complain for changes in bowel habits and rectal bleeding. Therefore, anorectal malignant melanoma is often misdiagnosed as hemorrhoids, polyp or rectal cancer. Surgery is the mainstay of treatment for patients with anorectal malignant melanoma. However, whether abdominoperineal resection or wide local excision is the most appropriate surgical approach is still a controversial issue. Recently, with the great development of laparoscopic techniques, more and more operations can be performed by laparoscopic techniques. However, laparoscopic abdominoperineal resection for management of anorectal malignant melanoma has been rarely reported. In this study, we reported 4 patients with anorectal malignant melanoma underwent laparoscopic abdominoperineal resection. The outcomes of these patients were relatively good during a long time follow-up. Meanwhile, we reviewed the relevant studies with particular focus surgical treatment.

关键词： anorectal malignant melanoma laparoscopic abdominoperineal resection wide local excision

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Combining quantitative and qualitative magnetic resonance imaging features to differentiate anorectal malignant melanoma from low rectal cancer

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Precision Clinical Medicine 2021年第2期4卷 119-128页

作者： Zeyan Xu Ke Zhao Lujun Han Pinxiong Li Zhenwei Shi Xiaomei Huang Chu Han Huihui Wang Minglei Chen Chen Liu Yanting Liang Suyun Li Yanqi Huang Xin Chen Changhong Liang Wuteng Cao Zaiyi Liu School of Medicine South China University of TechnologyGuangzhou 510006China Department of Radiology Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou 510080China State Key Laboratory of Oncology in South China Collaborative Innovation Center of Cancer MedicineGuangzhou 510060China Department of Radiology Sun Yat-Sen University Cancer CenterGuangzhou 510060China Department of Radiology the Affiliated Hospital of Southwest Medical UniversityLuzhou 646000China The Second School of Clinical Medicine Southern Medical UniversityGuangzhou 510080China Shantou University Medical College Shantou 515041China Guangdong Cardiovascular Institute Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou 510080China Department of Radiology Guangzhou First People’s Hospitalthe Second Affiliated Hospital of South China University of TechnologyGuangzhou 510180China Department of Radiology the Sixth Affiliated Hospital of Sun Yat-Sen UniversityGuangzhou 510655China

Background:Distinguishing anorectal malignant melanoma from low rectal cancer remains challenging because of the overlap of clinical symptoms and imaging *** aim to investigate whether combining quantitative and qualitative magnetic resonance imaging(MRI)features could differentiate anorectal malignant melanoma from low rectal ***:Thirty-seven anorectal malignant melanoma and 98 low rectal cancer patients who underwent preoperative rectal MRI from three hospitals were retrospectively *** patients were divided into the primary cohort(N=84)and validation cohort(N=51).Quantitative image analysiswas performed on T1-weighted(T1WI),T2-weighted(T2WI),and contrast-enhanced T1-weighted imaging(CE-T1WI).The subjective qualitative MRI findings were evaluated by two radiologists in *** analysis was performed using stepwise logistic *** discrimination performance was assessed by the area under the receiver operating characteristic curve(AUC)with a 95%confidence interval(CI).Results:The skewness derived from T2WI(T2WI-skewness)showed the best discrimination performance among the entire quantitative image features for differentiating anorectal malignant melanoma from low rectal cancer(primary cohort:AUC=0.852,95%CI 0.788–0.916;validation cohort:0.730,0.645–0.815).Multivariable analysis indicated that T2WI-skewness and the signal intensity of T1WI were independent factors,and incorporating both factors achieved good discrimination performance in two cohorts(primary cohort:AUC=0.913,95%CI 0.868–0.958;validation cohort:0.902,0.844–0.960).Conclusions:Incorporating T2WI-skewness and the signal intensity of T1WI achieved good performance for differentiating anorectal malignant melanoma from low rectal *** quantitative image analysis helps improve diagnostic accuracy.

关键词： anorectal malignant melanoma low rectal cancer magnetic resonance imaging quantitative image analysis

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