Marjolin's ulcer is the malignant transformation of a scar, usually as a squamous cell carcinoma. An uncommon presentation form is from a laparostomy scar. A 49-year-old patient that had a laparostomy during the treatment of a necrohemorrhagic pancreatitis in 1987 complained 13 years later of a 20-cm ulcer on the laparostomy scar. A resection of the abdominal wall including the ulcer and a segmental transverse colectomy were performed because of infiltration by an invasive squamous cell carcinoma. Ten months later, axillary lymphadenectomy was performed because of lymph node metastasis. Currently, the patient is free of disease. Lymph node infiltration is frequent in squamous cell carcinoma on Marjolin's ulcer and survival is not good. Prophylaxis of this disease includes meticulous care of wounds, with early skin grafts when required and treatment of infections.

译文

Marjolin溃疡是疤痕的恶性转化,通常是鳞状细胞癌。一种不常见的表现形式来自腹腔镜造口疤痕。一名49岁的患者在治疗坏死性出血性胰腺炎期间进行了剖腹造口术,1987年在13年后抱怨剖腹造口术疤痕上出现20厘米溃疡。由于浸润性鳞状细胞癌的浸润,进行了包括溃疡在内的腹壁切除术和节段性横向结肠切除术。10个月后,由于淋巴结转移,进行了腋窝淋巴结清扫术。目前,患者没有疾病。在Marjolin溃疡的鳞状细胞癌中,淋巴结浸润频繁,生存率不佳。这种疾病的预防包括伤口的精心护理,在需要时进行早期皮肤移植和治疗感染。

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