Liebau J, Pallua N
Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinischen Hochschule Hannover, Krankenhaus Oststadt.
Langenbecks Arch Chir. 1995;380(3):158-61. doi: 10.1007/BF00207722.
Carcinomas, mainly of the squamous cell type, may occur in burn scars from 3 months to 75 years after the burn injury, and they have a poor prognosis. Therefore, unstable scars, chronic ulcers and tumors must be subjected to histological examination as soon as possible. If a malignant tumor is present, the therapy of choice is wide local excision, though in the event of progressive tumor development an ablative procedure may be necessary. Early radical surgery is important. Unstable scars should be investigated to allow prophylactic surgery to be performed if appropriate [4]. Early mobilization of the (mostly elderly) patients is important. Three case reports of patients with burn scar carcinoma are presented.
癌，主要为鳞状细胞癌，可发生于烧伤后3个月至75年的烧伤瘢痕中，预后较差。因此，不稳定瘢痕、慢性溃疡和肿瘤必须尽快进行组织学检查。如果存在恶性肿瘤，首选治疗方法是广泛局部切除，不过如果肿瘤进展，可能需要进行切除手术。早期根治性手术很重要。应检查不稳定瘢痕，以便在适当情况下进行预防性手术[4]。（大多数为老年）患者的早期活动很重要。本文介绍了3例烧伤瘢痕癌患者的病例报告。
