Worley Brandon, Nemechek Andrew J, Stoler Samantha, Cohen Joel L
J Drugs Dermatol. 2018 Jun 1;17(6):683-685.
Alternative therapies are favored by some patients. In skin cancer, this may be to try to avoid surgery out of fear for the procedure and its functional or cosmetic consequences. Frequently, use of these therapies is not curative and can cause harm. Our objective is to detail a case where black salve was used as a natural remedy for an atypical fibroxanthoma and resulted in a severe burn. We highlight the challenges of communicating effective treatment options for those who have strong beliefs concerning natural remedies after a cancer diagnosis.
A 78-year-old man was referred for excision of a small atypical fibroxanthoma of the scalp. He had reservations about conventional treatments, he initially declined surgery. Later, he was found to have a severe burn over the site of the biopsy-proven AFX, extending to 20% of his scalp. He was found to have been applying black salve. Hospital admission and multiple stages of scalp reconstruction with Head and Neck Surgery were required.
For patients who desire to use alternative medicine, communication is all important. Integrative approaches to use traditional therapy while reconciling patient beliefs in natural medicine can improved oncologic, functional, and psychosocial outcomes. J Drugs Dermatol. 2018;17(6):683-685.
一些患者青睐替代疗法。在皮肤癌治疗中，这可能是出于对手术过程及其功能或美容后果的恐惧而试图避免手术。这些疗法通常无法治愈疾病，反而可能造成伤害。我们的目的是详细介绍一例使用黑膏药作为非典型纤维黄色瘤的天然疗法并导致严重烧伤的病例。我们强调了对于那些在癌症诊断后对天然疗法坚信不疑的患者，传达有效治疗方案所面临的挑战。
一名78岁男性因头皮小的非典型纤维黄色瘤被转诊来接受切除手术。他对传统治疗有所保留，最初拒绝手术。后来，在经活检证实的非典型纤维黄色瘤部位发现他有严重烧伤，烧伤面积达头皮的20%。发现他一直在使用黑膏药。患者需要住院，并由头颈外科进行多阶段头皮重建手术。
对于希望使用替代药物的患者，沟通至关重要。在协调患者对天然药物的信念的同时，采用综合方法使用传统疗法可以改善肿瘤学、功能和心理社会结局。《药物皮肤病学杂志》。2018年；17(6)：683 - 685。
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