以下是引用一叶知秋在2010-5-24 5:48:00的发言:
色素痣恶变为恶黑 恶黑的病例诊断还要尽量提供有关治疗和预后的指标,比如浸润深度,血管浸润,表面溃疡,核分裂,切线等,以下是公认的与预后有关的项目
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Poor prognostic factors Breslow (vertical) thickness in primary tumor Clark’s level Vascular invasion High stage (TNM) Male gender High mitotic rate Ulceration Microscopic satellites (tumor nests 50 microns or larger and separated from main tumor mass) Deeper level of invasion for T1 tumors Higher % tumor area/volume in sentinel node Positive nonsentinel lymph nodes Regression Tumor-infiltrating lymphocytes
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