к.м.н., зав. отделением амбулаторно-поликлинической хирургии Воронежской областной клинической больницы №1
врач Воронежской областной клинической больницы №1
д.м.н., проф. , заведующий кафедрой общей хирургии Воронежского государственного
медицинского университета имени Н.Н.Бурденко
Relevance
Trophic ulcers on the background of malignant tumors of the skin, soft tissues and bones discover about 1-1,5% of cases.
In view of rare occurrence and diverse currents, early diagnosis is difficult and only possible with the use of cytological examination
of discharge and smears-prints, and various biopsy suspicious areas and edges of the ulcer with histological examination. Treatment
and prognosis depend on the stage of the cancer process, which determines the possibility of radical intervention.
The purpose of the study
Description of a case of observation of a patient with trophic ulcers of melanoma.
Materials and methods
Presents a patient of 74 years with the referring diagnosis: diabetes mellitus, type 2, compensation, diabetic
foot syndrome, purulent-necrotic wound of the right foot. Ulcer there are more than 3 years. Treated on an outpatient basis in the
clinic by place of residence, has repeatedly held stationary treatment in a surgical Department. For 3 years the wound has increased
several times. During examinations in the biopsy from the edge of the ulcer, which diagnosed a malignant melanoma of the skin with
ulceration. The patient underwent surgical treatment in the Oncology dispensary.
Conclusions
The lack of cancer awareness doctors can lead to long-term inadequate treatment of patients with trophic ulcers on
the background of malignant diseases, promoting the spread of the process and making it impossible radical intervention. Cancer
forecast depends on stage of the process and often is defined by possibility of radical surgery.
ческом диспансере.