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本文报告我院外科在1965～1982年期间收治皮肤疤痕癌21例,占同期皮肤癌12.4％,占皮肤鳞癌24％。本组男性15例,女性6例,发病年龄29～65岁,癌变间隔期平均22.8年,小腿多见,占76％。原发病人年龄越大间隔期越短,这与老年人皮肤角化可能有一定关系。创伤后疤痕癌变占本组病因62％,20例接受外科治疗均治愈而出院。病理报告均为鳞癌,无区域性淋巴结转移。随访6例均健在。
This article reports 21 cases of skin scar cancer treated in our hospital from 1965 to 1982, accounting for 12.4% of skin cancer in the same period, accounting for 24% of cutaneous squamous cell carcinoma. In this group, there were 15 males and 6 females. The age of onset was 29-65 years. The average interval between cancers was 22.8 years, and the lower legs were more common, accounting for 76%. The older the original patient is, the shorter the interval is. This may be related to the keratinization of the elderly. Post-traumatic scar cancer accounted for 62% of the cause of this group, and 20 patients were cured and discharged after surgical treatment. Pathological reports were squamous cell carcinomas with no regional lymph node metastases. Follow-up of 6 patients were all healthy.