Tacani Pascale Mutti, Tacani Rogério Eduardo, Machado Aline Fernanda Perez, Montezello Débora, Góes João Carlos Guedes Sampaio, Marx Angela Gonçalves, Liebano Richard Eloin
Physical Therapy Department, Brazilian Institute of Cancer Control (IBCC), Sao Paulo, Brazil.
Physical Therapy Department, São Camilo University Centre, Sao Paulo, Brazil.
Adv Wound Care (New Rochelle). 2018 May 1;7(5):165-170. doi: 10.1089/wound.2017.0757.
Marjolin's ulcers (MU) are skin malignancies that form over burn injuries. These very aggressive ulcers can result in functional and wound healing impairment, and require a well thought out treatment plan. Physiotherapy offers resources to help promote recovery of these patients, as described in this case report, in which the patient with a history of burn in the lower limbs evolved to malignancy 32 years later. This patient underwent tumor resection of the left foot, with recurrence and . Physical therapy included the application of high-frequency generator (HFG) for wound healing and exercises for functional recovery. The treatment lasted for many months and resulted in the improvement of the surgical wound areas, pain, swelling, sensitivity, strength muscle, and gait. It was observed that the use of HFG can be a tool in the tissue repair of surgical wound after the resection of MU; however, further studies need to be carried out to suit parameters and ensure safety of cancer patients.
马乔林溃疡(MU)是在烧伤创面形成的皮肤恶性肿瘤。这些极具侵袭性的溃疡会导致功能障碍和伤口愈合受损,需要精心制定治疗方案。物理治疗提供了有助于促进这些患者康复的资源,本病例报告对此进行了描述,该患者下肢有烧伤史,32年后演变为恶性肿瘤。该患者接受了左脚肿瘤切除术,出现复发。物理治疗包括应用高频发生器(HFG)促进伤口愈合以及进行功能恢复锻炼。治疗持续了数月,手术伤口区域、疼痛、肿胀、感觉、肌肉力量和步态均有改善。观察发现,使用高频发生器可作为马乔林溃疡切除术后手术伤口组织修复的一种手段;然而,需要进一步开展研究以调整参数并确保癌症患者的安全。