92岁超高龄老人耳后长斑？一查竟是“癌”！中心医院整形专家“移花接木”成功修复
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="font-size: 15px; line-height: 2; letter-spacing: 2px; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify;"><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><p style="color: #3e3e3e; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">皮肤是人体最大的器官，也是最容易受到外界环境损害的屏障。随着年龄的增长，皮肤疾病的发病率逐渐上升，其中皮肤癌是最常见的恶性肿瘤之一。<span style="color: #f96e57; box-sizing: border-box;"><strong style="box-sizing: border-box;">近日，义乌市中心医院烧伤整形科为一名</strong><span style="text-indent: 2.2667em; box-sizing: border-box;"><strong style="box-sizing: border-box;">92岁超高龄基底细胞癌患者完整切除病灶，并从其左上臂供皮区取皮，成功修复。</strong></span></span></p><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkjXUd8wo_4RqKDV_rWBdhSBrypI" /></section></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; box-sizing: border-box;"><p style="text-indent: 31.875469px; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">患者张爷爷（化名）今年92岁了，平时身体硬朗，生活自理。8年前，他的右耳后出现一块褐色斑块，以为是普通的老年斑，没有重视，然而<span style="color: #f96e57; text-decoration-line: underline; box-sizing: border-box;">这块“斑”逐渐增大，摸上去质地发硬，还伴有瘙痒感。</span>家人觉得不是简单的老年斑，<span style="box-sizing: border-box;">便带着<span style="box-sizing: border-box;">张爷爷来到义乌市中心医院皮肤科就诊。</span></span></p><p style="text-indent: 31.875469px; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">经过皮肤科主任徐永平的初步检查，发现该斑块</span><span style="text-decoration-line: underline; color: #f96e57; box-sizing: border-box;">边缘不规则，表面有糜烂、破溃结痂</span><span style="box-sizing: border-box;">，怀疑可能是皮肤恶性肿瘤。皮肤活检病理结果证实张爷爷耳后斑块为基底细胞癌（BBC）。</span></p></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="height: auto; z-index: 1; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px -10px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; margin: 0px -17px 0px 0px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="margin: 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 30px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FoqB5oHHLJqqJ_Bvey9rjB7_PYyu" /></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-image: url('https://pics-app.cnyw.net/FtS2_h1pJTYQFHo6JfBQ7_vRpWIT'); background-repeat: no-repeat; background-attachment: scroll; min-width: 5%; max-width: 100%; height: auto; padding: 7px 51px 7px 24px; background-size: cover !important; background-position: 50% 50% !important; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">基底细胞癌</strong></p></section></section></section></section></section></section></section><section style="color: #3e3e3e; text-align: center; justify-content: center; display: flex; flex-flow: row; margin: -10px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 88%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-image: url('https://pics-app.cnyw.net/Fgn1V2Q3NRx3I67I17aq449mHam4'); background-repeat: repeat-y; background-attachment: scroll; padding: 35px 26px 18px; border-radius: 14px; overflow: hidden; height: auto; margin: 0px; background-size: 100% auto !important; background-position: 0% 0% !important; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">基底细胞癌是最常见的皮肤癌，约占所有皮肤癌的80%。其生长缓慢，极少转移，但若不及时治疗可能侵犯深层组织，甚至累及软骨或骨骼，形成大的溃疡，严重影响患者生活；位于面部的基底细胞癌若持续扩展可破坏周围组织，甚至侵犯脑部危及生命，早期诊治具有重要意义。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">基底细胞癌好发于头面部、耳部、颈部等日光暴露部位，其外观可能是一个看似普通的小结节，但随着时间的推移会逐渐增大、破溃。多见于50岁以上中老年人，尤其是长期户外工作者或皮肤白皙者。</p></section></section></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="color: #3e3e3e; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">基底细胞癌的治疗以手术彻底切除为主，但考虑张爷爷年事已高，自身有基础疾病，手术耐受性较差，且病灶位于耳后，临近重要血管和神经，医院皮肤科、烧伤整形科、麻醉科等多学科共同会诊，制定既能彻底清除病灶、又能最大限度减少创伤的围手术期预案，全力保障手术安全顺利开展。</p><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FhijN9NzYJxxAidyCWnRT-3wTpxS" /></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FqJftYwVR7XCiH5X_MQ88YW6o7Ik" /></section></section><section style="color: #a0a0a0; text-align: center; font-size: 10px; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;">（手术资料图）</p></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="color: #3e3e3e; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">手术由烧伤整形科主任虞宏纲团队实施。术中。在确保安全切缘（通常基底细胞癌需切除周围3-5mm正常组织）的前提下，完整切除病灶。<span style="text-indent: 2.2667em; box-sizing: border-box;">由于耳后皮肤缺损较大，直接缝合可能导致耳廓变形，手术团队选择从张爷爷左上臂内侧（供皮区隐蔽，瘢痕较小）取全厚皮片，移植至耳后缺损区，精细缝合，确保皮片存活。</span></p><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FnsbM2Bkq_6rB3pnT_GI4X7ykJWd" /></section></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #3e3e3e;">术后病理切缘阴性，肿瘤完全切除，供皮区愈合良好，耳后皮片存活，无明显感染或坏死。经过一周的治疗张爷爷康复出院，医生嘱咐，</span><span style="color: #fa5359; text-decoration: underline;">高龄患者愈合慢，需加强伤口护理，定期复查以防复发</span><span style="color: #3e3e3e;">。 </span></p><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FlpvoSMnabKLWmmBB_EqX1tXByA9" /></section></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="color: #3e3e3e; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">基底细胞癌的常见表现有<span style="color: #f96e57; box-sizing: border-box;"><strong style="box-sizing: border-box;">结节型</strong></span>，表现为珍珠样光泽的丘疹或结节，中央可有溃疡（“鼠咬状溃疡”）；<span style="color: #f96e57; box-sizing: border-box;"><strong style="box-sizing: border-box;">色素型</strong></span>，类似黑痣或老年斑，易误诊，本例患者即属于此类型；<span style="color: #f96e57; box-sizing: border-box;"><strong style="box-sizing: border-box;">硬化型</strong></span>，呈淡黄色斑块，边界不清，易被忽视；<span style="color: #f96e57; box-sizing: border-box;"><strong style="box-sizing: border-box;">浅表型</strong></span>，表现为红色鳞屑性斑片，类似湿疹。</p><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fij4Hl1FpqCC4DOMx387sLOYS81P" /></section></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="color: #3e3e3e; text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">虞宏纲提醒，老年人皮肤变化不可忽视，尤其是长期不愈的溃疡、新发色素斑等，应尽早就诊，基底细胞癌治愈率高，避免进展为侵袭性病变。</p><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(239, 216, 167, 0.47); min-width: 5%; max-width: 100%; height: auto; padding: 0px; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; padding: 0px 0px 0px 10px; box-sizing: border-box;"><section style="text-align: center; margin: -4px 0px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 14px 4px 4px; border-color: #e6c98a #e6c98a rgba(255, 255, 255, 0); box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; height: auto; padding: 3px 12px 3px 4px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; color: #227456; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">皮肤科专家</strong></p></section></section></section></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FrlzH5j_stfQ3YbDfQr4xK9trzGp" /></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Frwi5yaxNsRJZ-rP8oMLbDI-TMkw" /></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fnltwv7XepLGNaiq_mLp5-EceFU2" /></section></section><p style="color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(239, 216, 167, 0.47); min-width: 5%; max-width: 100%; height: auto; padding: 0px; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; padding: 0px 0px 0px 10px; box-sizing: border-box;"><section style="text-align: center; margin: -4px 0px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 14px 4px 4px; border-color: #e6c98a #e6c98a rgba(255, 255, 255, 0); box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; height: auto; padding: 3px 12px 3px 4px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; color: #227456; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">烧伤整形科专家</strong></p></section></section></section></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section><section style="display: inline-block;"><img style="height: auto !important;" src="https://pics-app.cnyw.net/Fq9kFhN2nat-NQRWHg0i5qELZSnA" /></section></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkbIuDhDg0wJFpzTBwpfZ99jmLSp" /></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FqYnjBjgIlGNxqTe_UbOu0OefXI2" /></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FqZHrdSxhErR_T5Gr2D4QYBcykAw" /></section></section><section style="color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section></section><p style="display: none;"> </p> <!----></div> 技术越来越好 :(:( :(:(
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