화상반흔에서 생긴 편평상피암 13예
Squamous Cell Carcinoma Arising in Burn Scar
소속 상세정보
홍승표/S.P Hong
이상종/채종민/장은숙/정재홍/S.S. Lee/J.M Chae/E.S Chang/C.H Chung
KMID : 0357919880220040479
Abstract
악성종양이 화상반흔, 만성궤양, 상처부위나 동(洞)또는 누관( 管)에서 생김은 잘 알려져
있다. 화상반흔에서 생긴 암은 대부분이 분화가 좋은 편평상피암으로 천천히 자라나 때로는
전이를 일으켜 예후가 불량하기도 하다.
에서 화상반흔에서 생겼다고 간주된 편평상피암환자 13예를 임상병리학적으로 분석하여 다
음과 같은 성적을 얻었다. 남녀환자비는 10 : 3으로 남자에 호발하였고 화상후 암이 진단된
평균기간은 31년이었다. 호발부위는 하지가 가장 많았다. 전이는 3예에서 보였다. 조직학적
유형은 전예에서 잘 분화된 편평상피암이었다.
#초록#
Treves and Pack in 1930 estimated that about 2% of burn scars undergo malignant
change and they found that these usually occurred in the extremities and scalp. Males
outnumber females in a ratio of 3 to 1 in burn scar cancers and all races have
developed such tumors. Lawrence in 1952 accepted only 99 cases of burn scar cancer in
his review but it seems certain that these are considerably commoner than this figure
would indicate. These cancers are usually squamous in type and almost always arise in
large deep burn scars which were never grafted and were slow to heal. A few basal
cell carcinomas have been reported in more superficial scars usually on the face or neck.
A few cases of fibrosarcoma have been reported also but here the differential diagnosis
of so-called spindle-cell squamous carcinoma is always present. Recently Sarma and
Weilbaecher reported a case of squamous cell carcinoma arising in a burn scar in an
amputation stump was reported. Authors experienced 13 cases of burn cancer and the
clinico-pathologic characteristics were reviewed.
키워드
Squamous cell carcinoma; Burn scar;
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