Burn scar is met canceration

This year when Mr Zhao of 47 years old is 4 years old inadvertent burn the side outside right ham, remedial hind achieves heal, left a very big scar. This scar is accompanying him all the time live in peace with each other. Until itch because of skin Sao 13 years ago catch flinch, catch destroyed scar center a small skin, from now on this scar begins to look for his trouble.

That is defeated small piece one;burst;ulcerate;fester achieve a face from beginning to end cannot heal, instead from original fingernail size, expand palmar size slowly. Because of,just began perfunctory, mr Zhao just takes bit of antiphlogistic drug, tu Xie ointment. Patulous speed is achieved to be added apparently 5 years ago fast, achieved a face to have in October to last year jump keenly feel, and dark red defilement, submit cauliflower form, have effluvial taste, this ability begins Mr Zhao insecurity rises. Plastic surgery of classics hospital burn is diagnosed after for scar cancer.

The doctor reminds: In skin cancer, the cancer of scale shape cell with highest incidence of a disease happens at burn scar more. Especially old when by burn, scald person, should notice more. Because of the accident with scar preclinical cancer and burn person the age becomes inverse ratio, the age is older, the time that produces canceration interval is shorter.

The inducement that brings about scar canceration has scar local scar, chronic inflammation, scratch repeatedly catch broken;burst;ulcerate;fester, the burn of be caused by of certain and chemical material and radiation injury. Once the patient discovers him burn, scald scar is defeated for a long time;burst;ulcerate;fester not to heal, achieve pattern that present food to grow, accompany have effluvial, purulent sex secretion enclothes tumor type to organize the surface, be in especially short-term inside grow rapid, when achieving a face to increase, answer to doubt the likelihood of canceration highly.

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The disease is analytic -- cancer of scale shape cell

Cancer of scale shape cell (Squamous Cell Carcinoma) also calls leather appearance cancer, main from squamate shape epithelial the skin of answer lid begins. The eyelid predestined relationship of the skin and conjunctiva boundary is its send place more. This kind of cancer is swollen malign degree relatively base cell cancer person for tall. Development is rapidder, destroy bigger also. Can destroy eye ministry organization, invade deputy paranasal sinus or inside skull, can come through lymphatic move again before ear or the lymph node below jaw, cause systemic sex move even.

The pathogeny

Think to be concerned with the environment, especially the stimulation of sunshine has obvious concern, long-term sunlight is basked in expose to the sun and be being stimulated chronically is to basically come on because of,go, illuminate of traumatic, radiation, tar kind derivative also can cause this disease, dish the flesh that mark of Yu of blaze of lupus erythematosus, chronic ulcer, mucous membrane, burn reachs shape not to heal for a long time is swollen all can cause scale shape cell cancer.

Clinical expression

Send the man at 50 years old of above more, common at the place such as facial, scalp, labium, the back of hand, antebrachium, pudenda. Especially the skin and mucous membrane boundary happen more easily. Rise first for wine hard verrucous appearance is nodular, exterior blood capillary is outspread, there is corneous content to adhere to in the center of, come off not easily, exert oneself to do sth. after paring, can bleed. Leather damage expands gradually, form hard red splash piece, the surface has bit of a few scale, border land is fair, to all round infiltration, those who touch is harder, expand quickly form ulcer, ulcer to all round reach deep to encroach, can be as deep as muscle and skeleton, damage mutual adhesion to form hard bump, move not easily, cankerous base ministry is fleshy red, have necrotic organization, have purulent fluid, stink, easy haemorrhage. Evaginate of cankerous brim apophysis, have apparent inflammation, consciousness is aching. If happen in the skin and mucous membrane boundary, solid moisture and attrition bleed more easily, development is rapidder, can form cauliflower state, ruinous big, have apparent ache, easy move, prognostic and undesirable.

Measure of prevention and cure -- avoid solar illuminate, treat the primary affection actively.

Operation cure: Strive for inchoate operation, good to bigger tumour and become divided person, first selection operation is excised, cut should notice range and deepness, operation hind takes X line, excision specimen sends ill check.

Other therapeutics: Bake in a pan of carbon dioxide, report, liquid nitrogen is refrigerant all effective.

　　 Small make up remind: The more and wonderful content that prevent cancer, pay close attention to please >> >> cancer channel -- prevent cancer, begin from here

(responsibility edits: Liu Zhenlong)