上肢多重状细胞癌起源于长期烧伤痕:一个病例报告
Nhat Tien Tran1, Trong Lam Dinh2, Hong Phuc Le1
1Department of Surgery, University of Medicine and Pharmacy, Hue University, Hue, Viet Nam; Department of Orthopaedic & Plastic Reconstructive Surgery, Hue University of Medicine and Pharmacy Hospital, Hue, Viet Nam.
International journal of surgery case reports
|September 23, 2025
概括
马乔林的,或状细胞癌 (SCC) 在烧伤痕,是积极的. 痕中的多个SCC是罕见的,并且进展迅速,需要早期活检和瘤手术以获得最佳结果.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 手术病理学手术病理学
背景情况:
- 慢性烧伤中的马乔林,状细胞癌 (SCC),是罕见的,但具有攻击性.
- 烧伤痕中的多个同步SCC非常罕见,并且与快速进展有关.
研究的目的:
- 为了突出多焦点SCC在烧伤痕中的侵略性.
- 强调慢性痕病变的初始诊断方法的局限性.
- 倡导早期,积极的外科干预和终身监测.
主要方法:
- 一个56岁的男性患有40岁的热伤,呈现出多个可疑病变的案例介绍.
- 通过细胞学和MRI进行初始诊断,然后进行外科切除和组织病理学确认.
- 随后的治疗包括截肢,淋巴切除术和辅助放射治疗,由于迅速复发.
主要成果:
- 组织病理学证实了与广泛的结节转移和阳性边缘有很好的差异化的SCC.
- 快速多焦点复发和淋巴腺病发生在切割后一个月内.
- 患者需要截肢和进一步的瘤治疗.
结论:
- 细胞学在评估慢性痕病变方面存在局限性;早期活检和组织病理学至关重要.
- 烧伤痕中的多焦点SCC表明高风险概况需要积极的手术管理.
- 临床医生必须保持对慢性痕恶性瘤的高度怀疑,并采用瘤外科手术方法,然后进行终身监测.
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