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題 名 | Repeat Recurrent Merkel Cell Carcinoma of Face Resulting in Mood Disorders and Suicide--A Case Report=反覆復發在臉上的梅克爾氏細胞癌最後導致情緒性疾病及自我結束生命--個案報告 |
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作 者 | 呂佾欣; 林煌基; 周玉瑜; 鄭舉緒; 謝承翰; 林育賢; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 22:1 2013.03[民102.03] |
頁 次 | 頁69-77 |
分類號 | 415.78 |
關鍵詞 | 梅克爾氏細胞癌; 情緒性疾病; Merkel cell carcinoma; Mood disorder; |
語 文 | 英文(English) |
中文摘要 | 背景:梅克爾氏細胞癌,是一個高侵犯性及高死亡率的罕見疾病。近來發生率有升高的趨勢。它經常發生在陽光曝曬的部位,如臉部、頭頸部。此案例病兆在臉部雖經多次廣切除及放射治療後仍反覆復發,使得外表醜電,導致失去療癒的信心。目的及目標:梅克爾氏細胞癌的病患經常會有復發的現象。我們藉由觀察此病人,而了解治療後的復發現象。材料與方法:這是一個84歲的老農夫,他在2009年二月確診為梅克爾氏細胞癌。自2009年至2010年。經歷四次廣切除手術及植皮治療;並接受總劑量50葛雷的放射線治療。結果:雖經多次治療,但造成半邊臉部外觀不雅,病兆仍一再復發。病人在確診一年後,選擇以自殺結束生命。結論:梅克爾氏細胞癌預後非常差。藉由危險因子及他的表徵,可以幫助我們早期診斷,早期治療。雖然手術合併放射線治療可以降低其復發率及死亡率,但是隨著癌期越高,此癌還是有高度的復發率跟死亡率。另外,因為此癌易發生在臉上,病人又無法接受即使在接受治療之後接二連三而來的復發,我們病人接受了這樣的痛苦,最後自殺結束生命。 |
英文摘要 | Background:Merkel cell carcinoma (MCC), a highly aggressive malignant tumor with high mortality rates, is a rare disease that was recently found to increase in incidence. This cancer is thought to most frequently occur on sun-exposed area, especially the face, the head, and the neck. The patient in this case thought that he had a worrisome appearance, and this lead to a lack of confidence in the patient’s recovery prospects.Aim and objectives:Recurrences occur frequently in patients who had MCC. We had patient in whom we observed this even under treatment.Materials and methods:An 84 y/o male farmer had MCC diagnosed in February 2009. At follow-up, we observed that the tumor recurred in the patient rapidly, even though treatment was performed. The patient underwent four times of wide excisions and skin graft reconstructions during the 2009-2010 period. Radiotherapy with total dose of 50Gy was also arranged and subsequently completed.Results:Despite the fact that the treatment course was completed, the patient repeatedly developed recurrences. This promoted the patient’s suicide about 1 year after the MCC was diagnosed.Conclusions:MCC is a rare skin cancer with poor prognosis. Risk factors and characteristics often make us diagnosed it more early, and then treat it. Although surgery and radiotherapy were shown to decrease recurrence rates and mortality, the tumor still has high recurrence and mortality rate regard to the staging. Additionally, when MCC occurs on the face, patients suffer very much. Our patient committed suicide, because he did not accept the inevitable recurrences that repeatedly occurred after treatment. |
本系統中英文摘要資訊取自各篇刊載內容。