Zhang Z X
Department of Pathology, Yichang Medical College.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1993 Nov;9(6):425-7, 478.
37 cases of squamous cell carcinoma (SCC) arising in burn scars were reviewed. They were diagnosed between 1963 to 1991, accounting for 9.6% of 387 cases of skin SCC diagnosed during the same period. 24 cases were male and 13 female. Their ages varied from 15 to 73 years, with a mean age of 43 years. The interval period from initial burn to diagnosis of SCC ranged from 12 to 63 years, with a mean of 35.7 years. Macroscopically, an infiltrative ulcerative carcinoma was found in 12 cases, and an exophytic cauliflower like carcinoma was seen in 25 cases. Microscopically, the SCC was well differentiated in 26 cases, moderately differentiated in 8 cases, poorly differentiated in 3 cases. The course of growth of the malignancy, the clinicopathological features and the clinical diagnosis concerning the burn scar carcinoma were discussed in this paper.
回顾了37例烧伤瘢痕中发生的鳞状细胞癌(SCC)。这些病例于1963年至1991年间确诊,占同期诊断的387例皮肤SCC的9.6%。男性24例,女性13例。年龄从15岁至73岁不等,平均年龄43岁。从初次烧伤至SCC诊断的间隔时间为12年至63年,平均35.7年。宏观上,12例为浸润性溃疡性癌,25例为外生性菜花状癌。微观上,26例SCC为高分化,8例为中分化,3例为低分化。本文讨论了恶性肿瘤的生长过程、临床病理特征以及烧伤瘢痕癌的临床诊断。