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目的总结11例皮肤瘢痕癌的诊疗经验。方法 11例患者均行局部病灶组织活检确诊,然后予行扩大切除术联合皮瓣和(或)厚皮片移植修复,合并区域淋巴结肿大者加行区域淋巴结清扫术;因局部癌肿固定而怀疑癌细胞残存者,术后加行局部放射治疗。所有患者均行术后随访观察。结果本组病例至少表现4种临床类型,即溃疡型、菜花型、膨隆型和混合型。经术后0.5~17年随访观察,全部患者中有2例出现病变复发,其中1例经再度扩大切除术加皮瓣转移术治疗,术后随访0.5年无复发,另1例死于其他全身性合并疾病;其余10例均健在,功能和外观恢复满意。结论手术扩大切除加皮瓣和(或)皮片移植是瘢痕癌的首选有效治疗方法。本病重在预防,不稳定型瘢痕的治疗并防止瘢痕溃疡的发生,是预防瘢痕癌变的重要措施。
Objective To summarize 11 cases of skin scar cancer diagnosis and treatment experience. Methods Eleven patients were confirmed by biopsy of local lesion and then treated with extended resection combined with flap and / or thick skin graft for regional lymph node enlargement combined with regional lymphadenectomy. Due to local cancer fixation, it was suspected The remaining cancer cells, postoperative local radiation therapy. All patients were followed up after surgery. Results The group of patients showed at least four clinical types, namely, ulcer type, cauliflower type, bulging type and mixed type. After 0.5 to 17 years of follow-up observation, 2 cases of all patients had lesions recurrence, of which 1 case of re-expansion and flap surgery, follow-up 0.5 years without recurrence, the other died of other body Sexually associated diseases; the remaining 10 cases were healthy, functional and appearance recovery satisfactory. Conclusions Surgical enlargement and resection plus skin flaps and / or skin grafts are the first choice of effective treatment of scar cancer. The disease is important in the prevention, treatment of unstable scars and prevent the occurrence of scar ulcers, is an important measure to prevent cancer of the scar.