Tanaka Aya, Hatoko Mitsuo, Tada Hideyuki, Kuwahara Masamitsu, Iioka Hiroshi, Niitsuma Katsunori
Division of Plastic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Ann Plast Surg. 2004 Apr;52(4):423-5. doi: 10.1097/01.sap.0000100421.95683.9b.
It is well-known that the development of a malignant tumor in a chronic burn scar is one of the long-term complications of a severe burn. Most of these tumors are squamous cell carcinomas, and sarcomas are much rarely seen in chronic burn scars. In the previous literature, 24 cases of burn scar sarcomas were reported. The authors report the second case of dermatofibrosarcoma protuberans arising in a chronic, severe burn scar. A 68-year-old woman with a reddish tumor in the right axilla was referred to the authors' hospital. The patient had sustained severe burns in the right axilla, upper arm, and trunk at the age of 6 years. A biopsy specimen revealed dermatofibrosarcoma protuberans. There was no evidence of distant metastasis. The tumor was excised widely to include the surrounding burn scar. Two years after the operation, there was no evidence of tumor recurrence. As surgeons, we should recognize the possibility of the occurrence of various malignant tumors including sarcomas on burn scars.
众所周知，慢性烧伤瘢痕中发生恶性肿瘤是严重烧伤的长期并发症之一。这些肿瘤大多是鳞状细胞癌，而肉瘤在慢性烧伤瘢痕中很少见。在以往文献中，报道了24例烧伤瘢痕肉瘤。作者报告了第二例发生在慢性严重烧伤瘢痕中的隆突性皮肤纤维肉瘤。一名68岁女性因右腋窝出现红色肿瘤被转诊至作者所在医院。该患者6岁时右腋窝、上臂和躯干遭受严重烧伤。活检标本显示为隆突性皮肤纤维肉瘤。没有远处转移的证据。肿瘤被广泛切除，包括周围的烧伤瘢痕。术后两年，没有肿瘤复发的迹象。作为外科医生，我们应该认识到烧伤瘢痕上发生包括肉瘤在内的各种恶性肿瘤的可能性。
