Walker Wadsworth Elizabeth, Duckett Kelsey A, Patel Krishna G
Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
Laryngoscope. 2024 Jul;134(7):3143-3145. doi: 10.1002/lary.31337. Epub 2024 Mar 9.
Keloid scars can cause significant morbidity to the patient including substantial cosmetic disfigurement, particularly in the head and neck region. Surgical excision followed by immediate postoperative radiation therapy has been shown to be more effective than single modality treatment. Radiation therapy increases risk for radiation-induced malignancy, though very few cases have been reported in the treatment of keloids. We report the case of a patient with a large postauricular keloid treated with excision and immediate post-operative radiation who developed a high-grade pleomorphic sarcoma in the scar bed. Laryngoscope, 134:3143-3145, 2024.
瘢痕疙瘩可给患者带来严重的不良影响，包括严重的美容缺陷，尤其是在头颈部区域。手术切除后立即进行术后放疗已被证明比单一治疗方式更有效。放疗会增加辐射诱发恶性肿瘤的风险，不过在瘢痕疙瘩治疗中报告的此类病例极少。我们报告了一例耳后巨大瘢痕疙瘩患者，经切除及术后即刻放疗后，在瘢痕床处发生了高级别多形性肉瘤。《喉镜》，2024年，第134卷，第3143 - 3145页。
