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Palliative surgery for advanced fungating skin cancers
1Department of Plastic and Reconstructive Surgery, National Hospital Organization, Nagasaki Medical Center, Ohmura City, Japan;
Wounds : a Compendium of Clinical Research and Practice
|April 23, 2015
Summary
Palliative surgery for advanced skin cancer wounds, including abrasion and skin grafting, improved patient quality of life. This approach reduced wound symptoms like odor and infection, enhancing overall well-being for terminal patients.
Area of Science:
- Oncology
- Dermatology
- Palliative Care
Background:
- Advanced skin cancers can lead to complex wounds.
- These wounds cause significant distress, pain, infection, odor, discharge, and bleeding.
- Patient quality of life (QoL) is severely impacted.
Purpose of the Study:
- To evaluate the effectiveness of palliative abrasion and free skin grafting for fungating skin ulcers.
- To assess the impact of this surgical approach on patient QoL.
Main Methods:
- Case presentations of patients with large fungating skin ulcers.
- Treatment involved palliative surgical abrasion.
- Wound resurfacing was achieved using free skin grafting.
Main Results:
- Palliative surgery led to a more comfortable daily life for patients.
- Reduced wound secretion, odor, and infection risk were observed.
- Improvements in nutritional status and overall health condition were noted.
Conclusions:
- Simple palliative surgery can significantly improve QoL for terminal cancer patients.
- This approach effectively manages distressing wound symptoms.
- It contributes to better overall health and well-being.
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