Mishra Sudhansu Sekhar, Behera Sanjay Kumar, Panigrahi Souvagya, Senapati Satya Bhusan
Department of Neurosurgery, S.C.B. Medical College and Hospital, Cuttack, Odisha, India.
Asian J Neurosurg. 2014 Oct-Dec;9(4):240. doi: 10.4103/1793-5482.146646.
Marjolin's ulcer invading the skull, dura mater, and the brain is quite exceptional. We report such a rare case of massive Marjolin's ulcer arising in the chronic scar tissue of the scalp of an elderly male. The ulcer had invaded the skull, dura mater, and underlying brain tissue. The patient was managed successfully by wide excision and scalp reconstruction. The importance of appropriate and timely wound management of scar ulcers with high malignant potential is highlighted. The role of multidisciplinary approach in the scalp reconstruction is discussed.
溃疡侵犯颅骨、硬脑膜和脑的Marjolin溃疡非常罕见。我们报告了一例发生在老年男性头皮慢性瘢痕组织中的罕见的巨大Marjolin溃疡病例。该溃疡已侵犯颅骨、硬脑膜及下方的脑组织。患者通过广泛切除和头皮重建成功治愈。强调了对具有高恶性潜能的瘢痕溃疡进行适当及时伤口处理的重要性。讨论了多学科方法在头皮重建中的作用。
