Sleightholm Richard L, Willcockson James R, Watley Duncan C, Durden Frederick L, Foster Jason M
Department of Surgery, Division of Surgical Oncology, 987400 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Neb.
Plast Reconstr Surg Glob Open. 2016 Dec 23;4(12):e1182. doi: 10.1097/GOX.0000000000001182. eCollection 2016 Dec.
Herein, we report a case of a patient with an abnormal skin lesion that remained unchecked by medical professionals for approximately 20 years. Upon physical examination in the emergency department for a fractured hip, an infiltrative mass was incidentally discovered. The neoplasm was noted to have progressed from an eraser-sized mass to a 3.5-cm invasive lesion. Initial surgical intervention was believed to have been successful in removal, as margins were clear with the exception of 1 indeterminate segment. However, subsequent 1-year follow-up revealed recurrence of the disease with bilateral axillary node and deep muscle involvement. This prompted a more extensive surgical approach complemented with radiation therapy. The patient had remained disease-free for a year.
在此，我们报告一例患者，其皮肤病变异常，医学专业人员约20年未对其进行检查。因髋部骨折在急诊科进行体格检查时，偶然发现一个浸润性肿块。该肿瘤已从橡皮擦大小的肿块发展为一个3.5厘米的浸润性病变。最初的手术干预被认为成功切除，除1个不确定节段外切缘清晰。然而，随后的1年随访显示疾病复发，双侧腋窝淋巴结和深部肌肉受累。这促使采取更广泛的手术方法并辅以放射治疗。该患者已无病生存1年。
