在pilonidal疾病中产生的Marjolin的:一个病例报告和历史视角
Paige Curcio1, Frank Ross2,3
1NYU Grossman School of Medicine, 550 1st Ave, New York, NY 10016, United States.
Journal of surgical case reports
|December 30, 2025
概括
恶性转变发生在一个患有pilonidal疾病的年轻女性身上,呈现为一种罕见的Marjolin. 由于缺少活检而延迟诊断不愈合的,强调需要及时评估和跟进.
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:
- 皮隆性疾病很少发生恶性转变.
- 马乔林的是已知的慢性伤口的并发症,包括与pilonidal疾病相关的.
- 慢性伤口中恶性转变的延迟诊断可能导致疾病的晚期.
研究的目的:
- 报道了一起罕见的恶性转变病例,该病例发生在一名患有pilonidal疾病的年轻女性身上.
- 突出诊断挑战和活检在不愈合的的重要性.
- 强调需要改善系统层面的患者随访流程.
主要方法:
- 一个年轻女子患有慢性部的病例报告.
- 临床表现,诊断工作,包括活检和成像.
- 状细胞癌 (SCC) 的组织病理学确认和转移性传播的评估.
主要成果:
- 患者呈现了一种完全厚度的,这是皮隆性疾病的次要原因.
- 活检证实了平细胞癌 (SCC).
- 图像和精细针吸收揭示了转移到 inguinal 淋巴结的转移性 SCC,认为这种疾病无法切除.
结论:
- 在pilonidal疾病中恶性转变是一个罕见但关键的考虑因素.
- 不治愈的及时活检对于早期诊断和管理至关重要.
- 对不可切除的转移性SCC进行了全身治疗.
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