種々の理由により治療に難渋した巨大瘢痕癌の3例

概要

論文の詳細を見る
Three cases of giant cancer-in-scar, which histopathologically were diagnosed assquamous cell carcinoma with some complications and our therapeutic approach areintroduced.To our experience, two of the most important operative points for cancer-in-scarcould be extensive resection of tumor and related lymphatics, and reconstructiveprocedure using free skin graft in initial step. However in some compromised patients with high demand for quality of their life (cosmetically or functionally), more advanced operative method such as pedicled or free flaps could be performed initially. Even in such cases the size of tumor resection should not be compromised.In the course of treatment of cancer-in-scars collaboration of pathologists, dermatologists and experienced plastic surgeons in early stage could drastically present disastrous outcomes.