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[目的]探讨如何诊断原发性食管恶性黑素瘤。[方法]分析山西省肿瘤医院2005~2015年间收治的3例原发性食管恶性黑素瘤的诊断过程。[结果]通过分析病史、内镜下表现、影像学、病理及免疫组化结果对原发性食管恶性黑素瘤不难作出诊断。[讨论]原发性食管恶性黑素瘤恶性程度很高,对放化疗都不敏感,手术切除是主要的治疗办法。如何能尽早对原发性食管恶性黑素瘤作出诊断显得尤为重要。
[Objective] To explore how to diagnose primary esophageal malignant melanoma. [Methods] The diagnosis of primary esophageal malignant melanoma in Shanxi Cancer Hospital from 2005 to 2015 was analyzed. [Results] It is not difficult to diagnose primary esophageal malignant melanoma by analyzing medical history, endoscopic findings, imaging, pathology and immunohistochemical results. [Discussion] Malignant primary esophageal malignant melanoma is highly sensitive to radiotherapy and chemotherapy, surgical resection is the main treatment. How early diagnosis of primary esophageal malignant melanoma is particularly important.