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一名年轻患者的伴有腘窝淋巴结病的马乔林溃疡的外科切除及淋巴结清扫治疗：一种罕见且易被忽视的病变——病例报告

Management of Marjolin's ulcer with popliteal lymphadenopathy with surgical resection and lymphadenectomy in a young patient, an uncommon lesion and overlooked entity: A case report.

作者信息

Naeem Aroma, Tabassum Shehroze, Bibi Arifa, Gill Saima, Afzal Faiza, Anand Ayush

机构信息

King Edward Medical University Lahore Pakistan.

Fatima Jinnah Medical University Lahore Lahore Pakistan.

出版信息

Clin Case Rep. 2023 Sep 4;11(9):e7876. doi: 10.1002/ccr3.7876. eCollection 2023 Sep.

DOI:10.1002/ccr3.7876
PMID:37675412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10477721/
Abstract

KEY CLINICAL MESSAGE

In non-healing ulcers with a previous history of burns, clinicians should have a high index of suspicion for Marjolin's ulcer and a low threshold for biopsy, irrespective of age.

ABSTRACT

Marjolin's ulcer is a rare malignancy arising from chronic inflammation and commonly manifests in burn scars. Thus, in cases of chronic wounds or non-healing ulcers, health professionals should have a high index of suspicion and a low threshold for biopsy, irrespective of age. Early diagnosis and timely management of tumors can improve the prognosis and overall survival rate. Moreover, further studies are needed to develop an evidence-based management approach for Marjolin's ulcer.

摘要

关键临床信息

对于有烧伤病史的不愈合溃疡，临床医生应高度怀疑Marjolin溃疡，并降低活检阈值，无论年龄大小。

摘要

Marjolin溃疡是一种由慢性炎症引起的罕见恶性肿瘤，常见于烧伤瘢痕。因此，对于慢性伤口或不愈合溃疡病例，无论年龄大小，卫生专业人员都应高度怀疑并降低活检阈值。肿瘤的早期诊断和及时治疗可改善预后和总体生存率。此外，还需要进一步研究以制定基于证据的Marjolin溃疡管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/5afdf133b9a7/CCR3-11-e7876-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/8cb486a927b1/CCR3-11-e7876-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/e0a2d92e589d/CCR3-11-e7876-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/cfb82bbd34b3/CCR3-11-e7876-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/5afdf133b9a7/CCR3-11-e7876-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/8cb486a927b1/CCR3-11-e7876-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/e0a2d92e589d/CCR3-11-e7876-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/cfb82bbd34b3/CCR3-11-e7876-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e02d/10477721/5afdf133b9a7/CCR3-11-e7876-g002.jpg

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本文引用的文献

1
Prognostic Factors of Marjolin Ulcers: A Meta-Analysis and Systematic Review Assisted by Machine Learning Techniques.马乔林溃疡的预后因素：一项由机器学习技术辅助的Meta分析和系统评价
Plast Reconstr Surg. 2023 Apr 1;151(4):875-884. doi: 10.1097/PRS.0000000000010012. Epub 2022 Dec 9.
2
Marjolin Ulcer: A Comprehensive Review.恶性外生性骨膜炎：全面综述。
Adv Skin Wound Care. 2020 Dec;33(12):629-634. doi: 10.1097/01.ASW.0000720252.15291.18.
3
Characteristics of Marjolin's Ulcers in 21st Century: A Retrospective Study, Systematic Review, and Surgical Guideline Recommendation.
21 世纪的恶性外生性溃疡特征：回顾性研究、系统评价和手术指南建议。
J Burn Care Res. 2021 Mar 4;42(2):152-166. doi: 10.1093/jbcr/iraa196.
4
Current Trends in Management of Marjolin's Ulcer: A Systematic Review.当前马约林溃疡的治疗趋势：系统评价。
J Burn Care Res. 2021 Mar 4;42(2):144-151. doi: 10.1093/jbcr/iraa128.
5
Systematic Review of Modern Case Series of Squamous Cell Cancer Arising in a Chronic Ulcer (Marjolin's Ulcer) of the Skin.皮肤慢性溃疡（马乔林溃疡）中发生的鳞状细胞癌现代病例系列的系统评价
JCO Glob Oncol. 2020 Jun;6:809-818. doi: 10.1200/GO.20.00094.
6
Marjolin's ulcer in chronic wounds - review of available literature.慢性伤口中的马乔林溃疡——现有文献综述
Contemp Oncol (Pozn). 2017;21(3):197-202. doi: 10.5114/wo.2017.70109. Epub 2017 Sep 29.
7
Marjolin's ulcer.马乔林溃疡。
BMJ. 2015 Aug 19;351:h3997. doi: 10.1136/bmj.h3997.
8
Marjolin's ulcers in the post-burned lesions and scars.烧伤后病变及瘢痕中的马乔林溃疡。
World J Clin Cases. 2014 Oct 16;2(10):507-14. doi: 10.12998/wjcc.v2.i10.507.
9
A Comprehensive Review on Marjolin's Ulcers: Diagnosis and Treatment.关于马乔林溃疡的综合综述：诊断与治疗
J Am Col Certif Wound Spec. 2011 Sep;3(3):60-4. doi: 10.1016/j.jcws.2012.04.001.
10
Early Marjolin's Ulcer after Minimal Superficial Burn.轻微浅表烧伤后早期的马乔林溃疡。
Iran J Med Sci. 2013 Mar;38(1):69-70.