Abstract: Objective To improve the understanding of primary malignant melanoma of the liver,and summarize the experience of diagnosis and treatment of this disease. Methods Clinical data of 1 patient with primary malignant melanoma of the liver was retrospectively analyzed and related literature was reviewed. Results Primary malignant melanoma of the liverwhich lack specific clinical features are uncommon and difficult to be diagnosed. The diagnosis is mainly based on pathology, MRI is of great value in the diagnosis of this disease. Surgical treatment is the main treatment,In combination with Rational application of chemoradiotherapy and immunotherapy. Conclusion The preoperative diagnosis of primary malignant melanoma of the liver requires rich experience combined with MRI and other imaging examinations. The treatment is mainly surgical treatment combined with radiotherapy, chemotherapy and immunotherapy, which is of great significance for prolonging life and improving the quality of life.

Key words: melanoma, malignant tumor, liver, primary

摘要： 目的 提高对肝原发性恶性黑色素瘤的认识并总结该疾病的诊治经验。方法 回顾性分析本院收治的1例肝原发性恶性黑色素瘤患者的临床资料再结合国内外相关文献对该病的临床诊治经验加以总结。结果 肝原发性恶性黑色素瘤临床表现缺乏特异性,术前诊断困难,主要依靠病理诊断,MRI对该病的诊断有很大的价值,治疗上以手术治疗为主,术后可应用放化疗及免疫治疗。结论 肝原发性恶性黑色素瘤术前诊断需要有丰富的经验再结合MRI等影像学检查,治疗是以手术治疗为主结合放化疗、免疫治疗的综合治疗,对延长生命,提高生活质量具有重要意义。

关键词: 黑色素瘤, 恶性肿瘤, 肝脏, 原发性