关键词: Case report Negative pressure wound therapy Skin cancer Skin grafting

来  源:   DOI:10.12998/wjcc.v11.i28.6812   PDF(Pubmed)

Abstract:
BACKGROUND: Skin cancer is a common malignant tumor in dermatology. A large area must be excised to ensure a negative incisal margin on huge frontotemporal skin cancer, and it is difficult to treat the wound. In the past, treatment with skin grafting and pressure dressing was easy to cause complications such as wound infections, subcutaneous effusion, skin necrosis, and contracture. Negative pressure wound therapy (NPWT) has been applied to treat huge frontotemporal skin cancer.
METHODS: Herein, we report the case of a 92-year-old woman with huge frontotemporal skin cancer. The patient presented to the surgery department complaining of ruptured bleeding and pain in a right frontal mass. The tumor was pathologically diagnosed as highly differentiated squamous cell carcinoma. The patient underwent skin cancer surgery and skin grafting, after which NPWT was used. She did not experience a relapse during the three-year follow-up period.
CONCLUSIONS: NPWT is of great clinical value in the postoperative treatment of skin cancer. It is not only inexpensive but also can effectively reduce the risk of surgical effusion, infection, and flap necrosis.
摘要:
背景:皮肤癌是皮肤科常见的恶性肿瘤。必须切除大面积,以确保巨大额颞叶皮肤癌的切缘阴性,很难治疗伤口。在过去,植皮和压力敷料治疗容易引起伤口感染等并发症,皮下积液,皮肤坏死,和挛缩。负压伤口疗法(NPWT)已用于治疗巨大的额颞叶皮肤癌。
方法:这里,我们报道了一例92岁女性巨大额颞叶皮肤癌。患者出现在外科部门,抱怨右额叶肿块破裂出血和疼痛。病理诊断为高分化鳞状细胞癌。病人接受了皮肤癌手术和植皮手术,之后使用NPWT。在三年的随访期间,她没有复发。
结论:NPWT在皮肤癌术后治疗中具有重要的临床价值。它不仅价格低廉,而且可以有效降低手术积液的风险,感染,和皮瓣坏死。
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