大的状细胞癌与骨侵袭:一个案例报告
Satoshi Takano1, Masanori Nakayama1, Soichiro Nakamura1
1Orthopedic Surgery, School of Medicine, International University of Health and Welfare (IUHW) Narita Hospital, Narita, JPN.
Cureus
|January 27, 2026
概括
状细胞癌 (SCC) 可以在创伤后的多年内在慢性伤口中发展. 创伤后病变的早期诊断对于预防侵略性干预和改善患者的治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 整形外科手术 整形外科手术
背景情况:
- 状细胞癌 (SCC) 可以在慢性伤口中出现,例如Marjolin的,在最初的创伤后很长时间.
- 在创伤后病变中延迟诊断SCC可能会导致更广泛的疾病和更积极的治疗需求.
研究的目的:
- 报告一个大指上SCC病例发生在创伤后10年.
- 强调在持续的创伤后病变中识别SCC的重要性.
- 讨论手部SCC的诊断和治疗考虑因素.
主要方法:
- 一个57岁的男性患有指损伤的病例报告.
- 活检证实了带有骨侵袭的状细胞癌.
- 治疗包括近道截肢和哨兵淋巴结活检.
主要成果:
- 活检证实SCC侵入骨,但没有血管参与.
- 哨兵淋巴结活检对转移呈阴性结果.
- 患者在手术后四年没有出现复发.
结论:
- 由于复发和转移率较高,手部的SCC需要及时诊断和治疗.
- 在慢性创伤后病变中对SCC的认识对于及时干预至关重要.
- 适当的外科边缘和哨兵淋巴结活检有助于管理和预后.
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