Hwang Kun, Han Jin Yi, Lee Se Il
Department of Plastic Surgery, Inha University Hospital, 7-206 Sinheung-dong, Jung-gu, Incheon 400-711, Korea.
Dermatol Surg. 2004 Apr;30(4 Pt 1):562-5. doi: 10.1111/j.1524-4725.2004.30179.x.
Malignant changes in burn scars occasionally develop, the majority being squamous cell carcinoma. Malignant melanomas (MMs) arising in burn scars occur rarely.
To present the case of a patient with a multiple MM developed at different burn scar areas.
A case report and review of literature are given.
One was a large pigmented nodular lesion with central ulceration on right flank. It was widely excised and revealed lentigo MM. After that, we took notice another small pigmented lesion on right arm. It was also reported lentigo MM.
This case provided a valuable lesson. Another kind of tumor may be present even if one tumor is found by pathologic observation, especially in burn scar patients. Clinicians should carefully observe burn scars, chronic ulcers, and other pigmented lesions.
烧伤瘢痕偶尔会发生恶性变化,大多数为鳞状细胞癌。烧伤瘢痕中发生的恶性黑色素瘤(MM)很少见。
介绍一名在不同烧伤瘢痕部位发生多发性MM的患者病例。
给出病例报告并进行文献复习。
一处是右侧腹部的一个大的色素沉着结节性病变,中央有溃疡。广泛切除后显示为雀斑样痣型MM。之后,我们注意到右臂上另一个小的色素沉着病变。报告也为雀斑样痣型MM。
该病例提供了宝贵的经验教训。即使通过病理观察发现了一个肿瘤,尤其是在烧伤瘢痕患者中,也可能存在另一种肿瘤。临床医生应仔细观察烧伤瘢痕、慢性溃疡和其他色素沉着病变。