因外固定架被忽视30年导致的前臂马乔林溃疡。
Marjolin's ulcer of the forearm from 30-year-neglection of external fixator.
作者信息
Kassir Haidar, Moussa Mohamad K, El Hajj Firass, Kheireddine Walid, Boushnak Mohammad O
机构信息
Departement of Orthopedic Surgery, Saint George Hadath Hospital, Beirut, Lebanon.
Orthopedic Surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon.
出版信息
Int J Surg Case Rep. 2021 Mar;80:105613. doi: 10.1016/j.ijscr.2021.01.107. Epub 2021 Feb 9.
BACKGROUND
Marjolin's ulcers are a rare form of malignancy that present at regions exposed to chronic infection. They present with a clinical triad of nodularity, induration, and ulceration greater than 3 months.
CASE REPORT
We present herein, an extremely rare case of Marjolin's ulcer of the forearm, secondary to osteomyelitis, resulting from a 30-year neglection of external fixator used to treat a war injury of the forearm.
DISCUSSION
Marjolin's ulcers are classically encountered in lower extremities at sites of burns, trauma or complicated wounds. In the upper extremity however, they are seldom mentioned in literature. The presence of risk factors raise the suspicion of the disease.
CONCLUSION
Marjolin's ulcer is rare sequelae of chronic wound infection. Patients often present after a latency period with exacerbated pain, discharge, and exophytic mass. This disease should be suspected in every case of chronic ulcer, where histological studies of the lesion must be conducted to exclude or confirm the diagnosis.
背景
马乔林溃疡是一种罕见的恶性肿瘤形式，出现在长期受感染的部位。其临床表现为结节、硬结和溃疡超过3个月的三联征。
病例报告
我们在此呈现一例极为罕见的前臂马乔林溃疡病例，继发于骨髓炎，病因是用于治疗前臂战伤的外固定架被忽视了30年。
讨论
马乔林溃疡通常见于下肢的烧伤、创伤或复杂伤口部位。然而，在上肢，文献中很少提及。危险因素的存在会增加对该病的怀疑。
结论
马乔林溃疡是慢性伤口感染的罕见后遗症。患者常在潜伏期后出现疼痛加剧、分泌物增多和外生性肿块。对于每一例慢性溃疡病例都应怀疑此病，必须对病变进行组织学研究以排除或确诊。
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