chronic non-healing ulcer

  • 文章类型: Case Reports
    非愈合性溃疡对临床医生显示出值得注意的示范性挑战。虽然通常归因于感染等常见原因,这些持续的伤口偶尔会掩盖更险恶的潜在疾病:恶性肿瘤。该病例报告介绍了一名39岁的印度男子,其右臀区溃疡未愈合。尽管对假定的细菌感染进行了初步治疗,溃疡持续存在。活检最终发现一个可能是造血来源的恶性肿瘤,CD30阳性和CD45局灶性阳性。进一步调查,包括核磁共振,FNAC,还有X光片,提示淋巴瘤。由于病因不同,非愈合性溃疡面临挑战。彻底了解潜在的原因,包括传染性,血管,自身免疫,和恶性病因,对于导航诊断过程至关重要。该病例强调了维持非愈合性溃疡的广泛鉴别诊断的关键作用以及活检在明确诊断中的重要性。在这种情况下,早期识别恶性肿瘤对于最佳的患者管理至关重要。该病例强调了在患有持续性溃疡的患者中考虑恶性肿瘤并进行活检以进行明确诊断的重要性。虽然最初的演讲模仿了一个感染过程,活检显示可能为皮肤间变性T细胞淋巴瘤.需要进一步的研究来明确分类特定的淋巴瘤亚型并指导进一步的治疗决策。
    Non-healing ulcers display a noteworthy demonstrative challenge for clinicians. While often attributed to common causes like infections, these persistent wounds can occasionally mask a more sinister underlying condition: malignancy. This case report presents a 39-year-old Indian man with a non-healing ulcer on his right gluteal region. Despite initial treatments for a presumed bacterial infection, the ulcer persisted. Biopsy ultimately revealed a malignant neoplasm of possible hematopoietic origin, positive for CD30 and focally positive for CD45. Further investigations, including MRI, FNAC, and X-rays, were indicative of lymphoma. Non-healing ulcers present a challenge due to diverse etiologies. A thorough understanding of potential causes, including infectious, vascular, autoimmune, and malignant etiologies, is crucial for navigating the diagnostic process. This case highlights the critical role of maintaining a broad differential diagnosis for non-healing ulcers and the importance of a biopsy in reaching a definitive diagnosis. Early recognition of malignancy in such cases is essential for optimal patient management. This case underscores the importance of considering malignancy in patients with persistent ulcers and performing biopsies for a definitive diagnosis. While the initial presentation mimicked an infectious process, the biopsy revealed a possible cutaneous anaplastic T-cell lymphoma. Further investigations are necessary to definitively classify the specific lymphoma subtype and guide further treatment decisions.
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  • 文章类型: Case Reports
    口腔鳞状细胞癌(OSCC)确实是最常见的口腔癌类型之一,通常影响50岁以上的人。它主要来源于口腔内的鳞状上皮细胞。虽然它在40岁以下的人中相对罕见,它仍然可能发生,虽然在这个年龄段不太频繁。发展OSCC的风险因素包括烟草使用(吸烟或咀嚼),过度饮酒,慢性刺激(如由于不合适的假牙),人乳头瘤病毒(HPV),感染,和某些饮食。早期发现和治疗对于改善预后和降低与此类癌症相关的死亡率至关重要。本报告描述了一个OSCC案例,分期T2N0M0,累及一名51岁男性患者的右侧颊粘膜。患者报告其脸颊右侧的溃疡剧烈疼痛。本报告着重于鳞状细胞癌的病因和简短的文献综述。
    Oral squamous cell carcinoma (OSCC) is indeed one of the most common types of oral cancer, typically affecting individuals over the age of 50. It primarily originates from the squamous epithelial cells lining the oral cavity. While it is relatively rare in individuals under 40 years old, it can still occur, albeit less frequently in that age group. Risk factors for developing OSCC include tobacco use (smoking or chewing), excessive alcohol consumption, chronic irritation (such as from poorly fitting dentures), human papillomavirus (HPV), infection, and certain dietary foods. Early detection and treatment are crucial for improving outcomes and reducing the mortality associated with this type of cancer. This report describes a case of OSCC, staged T2 N0 M0, involving the right buccal mucosa of a 51-year-old male patient. The patient reported intense pain in an ulcer on the right side of his cheek. This report focuses on the etiological factors and a brief literature review of squamous cell carcinoma.
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  • 文章类型: Journal Article
    未经证实:慢性非愈合性溃疡导致显著的发病率,高成本和降低生活质量。
    UNASSIGNED:比较自体富血小板纤维蛋白基质和自体非培养表皮细胞悬液移植治疗慢性非愈合性溃疡的疗效。
    未经评估:这项研究是单中心的,prospective,在印度北部的三级护理中心进行的随机比较研究。纳入慢性非愈合性溃疡患者,并随机分为两个治疗组:第1组:每2周进行一次富血小板纤维蛋白基质(PRFM)手术,最多3次;第2组:自体非培养表皮细胞悬液(NCES)手术一次。每2周随访8周,然后每月随访5个月,以评估溃疡的愈合情况。数据通过社会科学统计软件包(SPSS)试用版22进行分析。为了找出组间平均值的显著差异,卡方检验,学生t检验,使用了曼-惠特尼U检验。
    UNASSIGNED:共41例患者纳入研究。在5个月结束时,PRFM组中89.5%的患者和NCES组中93.8%的患者溃疡完全愈合(P=0.33)。在PRFM中,完全愈合的平均持续时间为1.7个月,在NCES中为2.13个月(P=0.20)。
    未经评估:两种程序都有效,两种程序之间没有显着差异。
    UNASSIGNED: Chronic non-healing ulcer causes significant morbidity, high cost and reduced quality of life.
    UNASSIGNED: To compare autologous platelet-rich fibrin matrix and transplantation of autologous non-cultured epidermal cell suspension in the treatment of chronic non-healing ulcers.
    UNASSIGNED: The study was single-centre, prospective, randomised comparative study conducted in a tertiary care center in North India. Patients with chronic non-healing ulcer were included and randomly divided into two treatment groups- Group 1: Platelet-rich fibrin matrix (PRFM) procedure was done every 2 weeks with maximum three sittings and in Group 2: Transplantation of autologous noncultured epidermal cell suspension (NCES) procedure was done once. Follow-up was done every 2 weeks for 8 weeks then monthly for up to 5 months to evaluate the healing of the ulcer. The data were analysed by statistical package for social science (SPSS) trial version 22. To find out a significant difference in mean value between groups, the Chi-square test, student\'s t-test, and Mann-Whitney U test were used.
    UNASSIGNED: A total of 41 patients were included in the study. Complete healing of ulcers occurred in 89.5% of the patients in the PRFM group and 93.8% of the patients in the NCES group at the end of 5 months (P = 0.33). The mean duration of complete healing in PRFM was 1.7 months and in NCES was 2.13 months (P = 0.20).
    UNASSIGNED: Both procedures were effective, and there was no significant difference between the two procedures.
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