Matsuzuka Takashi, Suzuki Masahiro, Ikeda Masakazu, Sato Kaoru, Fujimoto Junko, Hosaka Rumi, Tanji Yuko, Soeda Shu, Murono Shigeyuki
Department of Otolaryngology, Fukushima Medical University, Japan; Palliative Care Center, Fukushima Medical University Hospital, Japan.
Department of Otolaryngology, Fukushima Medical University, Japan.
Auris Nasus Larynx. 2018 Apr;45(2):384-387. doi: 10.1016/j.anl.2017.05.015. Epub 2017 Jun 16.
The aim of this case report was to evaluate the usefulness of a grafting with polyglycolic acid sheet and a fibrin glue spray (PGA sheet grafting) after resection of a cervical skin tumor. A 61-year-old woman presented with left cervical skin tumor resistance to chemo-radiotherapy. She had been undergoing multimodal therapy for ovarian serous papillary adenocarcinoma for the previous six years. Although she had a poor general condition and a cervical skin tumor of 9cm in diameter, which was painful and easy bleeding, had offensive smell, she hoped to return to her job. Under local anesthesia, resection was performed, and PGA sheet grafting were used to shield the skin defect. After resection, she was relieved from pain, and could stay home without daily wound treatment. One and half months after resection, the wound was almost epithelialized. The PGA sheets consist of soft, elastic, nonwoven fabric made of PGA. In recent years, PGA sheet grafting has been widely used in the reconstruction and was chosen to shield the skin defect for this case. PGA sheet grafting after resection of cervical skin tumor can be an acceptable method for palliative care to relieve pain, bleeding, offensive smell, and ugly appearance.
本病例报告的目的是评估在切除颈部皮肤肿瘤后使用聚乙醇酸片和纤维蛋白胶喷雾进行移植(聚乙醇酸片移植)的有效性。一名61岁女性患有对放化疗耐药的左颈部皮肤肿瘤。她在过去六年中一直在接受卵巢浆液性乳头状腺癌的多模式治疗。尽管她的一般状况较差,且有一个直径9厘米的颈部皮肤肿瘤,伴有疼痛、易出血、有恶臭味,但她希望能重返工作岗位。在局部麻醉下进行了切除,并使用聚乙醇酸片移植来覆盖皮肤缺损。切除后,她的疼痛得到缓解,无需每日伤口处理即可居家。切除后一个半月,伤口几乎完全上皮化。聚乙醇酸片由聚乙醇酸制成的柔软、有弹性的无纺布组成。近年来,聚乙醇酸片移植已广泛应用于重建手术,本病例选择其覆盖皮肤缺损。切除颈部皮肤肿瘤后进行聚乙醇酸片移植可作为一种姑息治疗方法,用于缓解疼痛、出血、恶臭味和外观不佳等问题。