2023-11-13 12:00:57
A black spot the size of a “fingernail” appeared on the left side of the patient’s face regarding 10 years ago, and gradually deteriorated into a tumor. (Picture/reproduced from Jimu News)
The Stomatological Hospital Affiliated to Kunming Medical University in Mainland China recently received a female patient. She had a large piece of irregular soft tissue growing on her left maxillofacial area, forehead and cheek, and under the eyelid skin. The size was regarding 10X10cm. The tissue was accompanied by a small amount of bleeding. Palpation A putrid and necrotic odor can be obviously smelled, and a large number of wriggling maggots can be seen on the tumor. Because of the unbearable pain, the patient will cry out from time to time.
Jimu News reported that the patient was 76 years old. A black spot the size of a fingernail appeared on her left face regarding 10 years ago. She occasionally felt pain, but her family thought it was not serious and only applied medicine intermittently or cleaned it with boric acid solution. , but the condition has not improved, and the tumor has gradually become larger, and it rapidly became larger and accompanied by pain 5 months ago. It was cleaned in other hospitals, but there was still no sign of improvement, so I had to transfer to another hospital for treatment.
After imaging examination, the team of Professor Wang Weihong of Oral and Maxillofacial Surgery admitted the patient to the hospital with a diagnosis of suspected “facial malignant tumor” and performed facial debridement first. Considering that the patient was older and had many underlying diseases, the doctor conducted a systemic assessment, invited multiple departments for consultation, and then formulated a treatment plan and scheduled surgery.
After completing relevant examinations and eliminating surgical contraindications, the medical team performed extensive resection of the malignant tumor on the left face, facial nerve dissection, free skin grafting, and pedicled skin flap migration on October 30. The patient healed well following the operation, with no infection, skin necrosis, etc., and achieved good recovery results. The patient and his family were very satisfied with the treatment effect, and might not help but sigh that the pain and suffering of more than 10 years was finally over.
Doctors said that maxillofacial tumors are mostly local masses in the early stages. Benign tumors grow slowly, most of them are uniform in texture and have clear borders; malignant tumors grow faster and may cause skin ulceration and infection. Bleeding and pain. The reason why this patient developed maggot parasitism was mainly due to the long delay, tissue decay following skin infection ulceration, and the hatching of fly larvae.
Doctors remind that basal cell carcinoma and squamous cell carcinoma are the most common malignant tumors on the face. Patients with basal cell carcinoma usually have small nodules on their skin, which are usually waxy and translucent nodules with raised and curled edges. Squamous cell carcinoma appears as red induration in the early stage and will gradually develop into cauliflower-like wart-like lesions. If facial tumors are found, it is recommended to seek treatment as soon as possible to minimize the risk of tumor spread and facial deformity.
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