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本文报告了4例原发性椎管内黑色素瘤，男2例，女2例，位于颈段1例，胸段3例，均为髓外硬膜下。随访2例生存3年死亡，2例8个月内死亡。本病临床诊断非常困难，均于术中或术后确诊。手术应尽量切除肿瘤，术后采取综合治疗以期获得长期生存。
This paper reports 4 cases of primary spinal melanoma, 2 males and 2 females, located in the cervical section in 1 case, thoracic in 3 cases, all extramedullary subdural. Two patients were followed up for 3 years and 2 patients died within 8 months. The clinical diagnosis of the disease is very difficult, are diagnosed intraoperatively or postoperatively. Surgery should try to remove the tumor, postoperative comprehensive treatment in order to obtain long-term survival.