论误诊为瘢痕的皮肤及软组织肿瘤的诊治：四例教训。
On the diagnosis and treatment of cutaneous and soft tissue tumours misdiagnosed as scars: Lessons from four cases.
机构信息
Oncoplastic Surgery Subspecialty, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of plastic and cosmetic surgery, The Second Affiliated Hospital of University of South China, Hengyang, Hunan, China.
出版信息
Int Wound J. 2019 Jun;16(3):793-799. doi: 10.1111/iwj.13099. Epub 2019 Feb 15.
Some types of skin and soft tissue tumours may be misdiagnosed as scars because of the scar-like manifestation or the history of injury. It is generally believed that injuries will activate wound healing, ultimately ending in fibrosis. Because of the tumour-promoting properties of both the microenvironment of the wound and the wound-healing process that may go awry, there is a likelihood that injuries may trigger tumour growth. From 2012 to 2016, we treated four patients who underwent unsuccessful treatments because of the misdiagnosis of scars or keloids. Upon the pathological diagnoses of skin and soft tissue tumours in the four cases, extended resection of the tumours was performed. Recurrence was not observed up to the last follow up. Since then, soft tissue tumours have much greater visibility and are considered during diagnosis if a wound is presented with the atypical appearance of scar after injuries. Under these circumstances, biopsy should be conducted.
某些类型的皮肤和软组织肿瘤可能因类似疤痕的表现或受伤史而被误诊为疤痕。一般认为，损伤会激活伤口愈合，最终导致纤维化。由于伤口微环境和可能出错的伤口愈合过程都具有促进肿瘤生长的特性，因此损伤有可能引发肿瘤生长。2012 年至 2016 年，我们治疗了 4 名因疤痕或瘢痕疙瘩误诊而治疗失败的患者。在这 4 例患者的皮肤和软组织肿瘤的病理诊断中，进行了肿瘤的广泛切除术。在最后一次随访时，没有观察到复发。此后，如果伤口在受伤后出现异常疤痕外观，在诊断时会更加关注软组织肿瘤。在这种情况下，应进行活检。
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