Case report Squamous cell carcinoma as a long-term effect after skin vascular malformation radiotherapy

B. Mańkowski, A. Osmola-Mańkowska, R. Olszański, A. Bielecki, P. Grala, K. Slowinski
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引用次数: 1

Abstract

In the past, vascular anomalies were divided into vascular malformations and vascular tumors. Radiotherapy was one of the leading methods of treatment for vascular malformations and infantile haemangiomas in the past and considered as harmless in those days. Many years later it turned out that management was not necessary and dan - gerous, even responsible for possible skin cancers appeared within areas exposed to radiotherapy in the future. The case report shows the presence of squamous cell carcinoma within the irradiated vascular malformation of the frontotemporal area in early childhood. The lesion was surgically removed, the defect was covered by split thick - ness skin graft. The histopathological evaluation confirmed the carcinoma as well as its complete resection. Assess - ing the adult patients with vascular anomaly one should be aware of possible radiation therapy for that malformation in the past, then the evaluation of the skin must be careful and focused on possible neoplasmatic lesions.
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皮肤血管畸形放疗后长期影响的鳞状细胞癌一例报告
以往将血管异常分为血管畸形和血管肿瘤。放射治疗是过去治疗血管畸形和婴儿血管瘤的主要方法之一,在当时被认为是无害的。许多年后,人们发现治疗是不必要的,而且是危险的,甚至可能导致将来暴露在放射治疗区域内的皮肤癌。本病例报告显示儿童早期额颞区辐照血管畸形内存在鳞状细胞癌。手术切除病变,用厚皮片覆盖缺损。组织病理学检查证实了癌变,并完全切除。对血管异常的成人患者进行评估时,应注意过去可能对该畸形进行的放射治疗,然后对皮肤的评估必须谨慎,并关注可能的肿瘤病变。
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