Gupta Sanjeev K, Sandhir R K, Jaiswal Awadhesh K, Kumar Sushil
Department of Neurosurgery, St. Stephens Hospital, New Delhi, India.
J Clin Neurosci. 2005 Aug;12(6):693-6. doi: 10.1016/j.jocn.2004.08.030.
A Marjolin's ulcer arising in a chronic scalp scar is reported. Malignant transformation occurred after four decades. The tumour had invaded the skull, dura mater and underlying brain tissue. This case illustrates the importance of appropriate and expeditious initial wound management of scar ulcers with high malignant potential to prevent this devastating outcome and also the role of reconstructive surgical techniques in radical surgery for scalp cancers.
本文报告了一例发生于慢性头皮瘢痕的马乔林溃疡。四十年后发生了恶性转化。肿瘤已侵犯颅骨、硬脑膜及下方脑组织。该病例说明了对具有高恶性潜能的瘢痕溃疡进行适当且迅速的初始伤口处理以防止这种灾难性后果的重要性，以及重建手术技术在头皮癌根治手术中的作用。
