小伤口6年后为何成夺命皮肤癌 Small wound six years later why into killing skin cancer

　　

美华裔癌症专家被小刀划伤癌变去世的消息引发热议，专家表示厨房操刀要当心“海洋分枝杆菌” The Chinese cancer experts was a knife to cut cancerous by news of the death of hot debate，Experts say the kitchen fencing cautiously“Marine mycobacteria”

　　

南京曾有市民30年没愈合的伤口变成烧伤瘢痕癌，专家披露最容易被忽视的5个“夺命”伤患 Nanjing citizens have had 30 years of the healing wounds become didn't burn scar carcinoma，Experts most neglected disclosure of the five“Seizes a life”injury

　　无意中被小刀划破手，竟然在6年后变成了致命皮肤癌。昨日扬子晚报的报道《美华裔癌症专家战癌失败抱憾去世》引发了不少读者的热议。据报道，美华裔癌症专家陈昌友是因为没有及时处理手上的伤口而患上皮肤癌而最终致命。小小伤口的隐患竟有如此之大？南京专家表示，厨房操刀时容易感染海洋分枝杆菌。南京也曾经出现过烧伤患者没有及时处理，最终转化为皮肤癌的案例。

Accidentally was a knife to cut his hand，Even in six years later became deadly skin cancer。Yesterday the yangtse evening post reported《The Chinese cancer experts fight cancer death surveying failure》Caused many readers of hot debate。According to the report，The Chinese cancer experts ChenChangYou because no handle in time on the wound and getting skin cancer and ultimately the deadly。The hidden trouble of the small wound that is so large？Nanjing experts say，When Fanny kitchen to easily infect Marine mycobacteria。Nanjing also burn patients there have been no handle in time，Finally into skin cancer cases。

　　

新闻回放 News playback

　　

华裔癌症专家因为皮肤癌去世 Chinese cancer experts for skin cancer death

　　据报道，美国加州圣迭戈市49岁华裔癌症研究专家陈昌友在今年7月19日罹患皮肤癌病逝。作为一名一生致力于钻研癌症的专家，陈昌友过世的原因让不少人颇为惊讶，他所患上的皮肤癌竟是因为6年前在家中厨房操刀时不慎造成的一处小伤口而导致的。在过去6年中，伤口甚至多次出现溃烂症状。直到今年年初，陈昌友和妻子前往医院对伤口进行化验时才发现，6年前陈昌友手上被刀割破那个小伤口，如今已发展为一种罕见的皮肤癌！

According to the report，The California ShengDieGeShi 49 years old Chinese cancer research experts ChenChangYou in July 19, died suffering from skin cancer。As a devoted his life to delve into cancer experts，The cause of death ChenChangYou let many people are surprised，What he has is the skin cancer because six years ago in the kitchen when Fanny careless home at a small wound and cause。In the past six years，The wound and even been repeated canker symptoms。Until earlier this year，ChenChangYou and his wife went to hospital for tests to see the wound，6 years ago ChenChangYou hands be knife break the small cut，Now has developed for a rare form of skin cancer！

　　

为何小伤口会恶化成癌症？ Why small wound will deteriorate into cancer？

　　

厨房操刀时容易感染海洋分枝杆菌 When Fanny kitchen to easily infect Marine mycobacteria

　　因为没有及时处理小伤口，竟然在6年后转化成了皮肤癌。陈昌友的这个“不慎”让不少人感到十分惊讶，伤口没有及时处理，竟然会引发皮肤癌？南医大二附院烧伤整形科主任聂兰军表示，因为割破手而患上皮肤癌去世的案例比较少见，但由于烧伤而转化为皮肤癌的例子则更多一些。

Because no timely processing small cut，Even in six years later transformed into skin cancer。ChenChangYou of the“immodesty”Let many people feel very surprised，The wound not handle in time，Unexpectedly can cause skin cancer？South FuYuan burns, director of the ZhengXingKe aquired NieLanJun said，Because cut open hand and getting skin cancer cases of death is rare，But because burns and into skin cancer is more examples of some。

　　东南大学附属中大医院皮肤科主任王飞在接受扬子晚报记者采访时解释，被小刀割破皮肤后的感染也有不同的分类，“普通的感染，如葡萄球菌和链球菌的感染，在处理时会比较方便。而另外一种海洋分枝杆菌感染就比较严重。”记者了解到，海洋分枝杆菌感染多存在于宰杀鱼类、家禽的情况中。一旦被海产刺伤而感染了这种细菌，伤口只会不断肿胀，而没有明显痛楚。因此，患者可能因此而轻视问题，使病况拖延，王飞表示，在门诊时也常会收到在厨房操刀时割破了手而感染海洋分枝杆菌的患者。

Southeast university dermatologist affiliated zhongda hospital director WangFei yangtse evening post in an interview with reporters explanation，Be a knife to cut open after the skin infection have different classification，“Common infection，Such as staphylococcus aureus and streptococcus infection，To be processed in more convenient。And another Marine mycobacteria infection is more serious。”The reporter understands，Marine mycobacteria infections are common in killing fish、The case of the poultry。Once they are infected with the seafood stabbed bacteria，The wound will only constantly swelling，Without obvious pain。so，Patients may therefore and despise problem，Condition to delay，WangFei said，In clinics also often received requests in the kitchen when cut his hand and infection mycobacterium ocean of patients。

　　对于报道中因为罕见皮肤癌而致命的说法，王飞告诉记者，皮肤的恶性肿瘤主要分成三种：基底细胞癌、鳞状细胞癌和恶性黑色素瘤。其中前两种癌细胞转移的可能性很小，在手术切除之后基本可以治愈。但第三种恶性黑色素瘤就比较严重，容易导致死亡。

To report a rare and deadly skin cancer because of the claim，WangFei told reporters，Skin cancer mainly divided into three kinds：Basal cell carcinoma、Squamous cell carcinoma and malignant melanoma。The first two little possibility of cancer cells to metastasize，After surgical resection in basic can be cured。But the third kind of malignant melanoma is more serious，Easy to cause the death。

　　

南京也曾有过类似案例 Nanjing and have had similar cases

　　

三十年没愈合的伤口变成烧伤瘢痕癌 Thirty years since the wound heals into burn scar carcinoma

　　“我在门诊上曾经收到过一个将近三十年伤口都没愈合的患者。”南医大二附院烧伤整形科主任聂兰军说。而这个令人难以置信的愈合时间最终让患者朱先生(化名)的膝盖伤口演变成了烧伤瘢痕癌(皮肤癌的一种)。聂兰军告诉记者，朱先生被送到医院时，膝盖后部的溃烂已经比较严重，因为不太注意对伤口的保护，在三十年里，朱先生的伤口破溃处经常处在结完痂后再度破损的状态。“病人被送到医院后，我们就怀疑是皮肤癌，而病人的病理报告也证实了我们的判断。”

“I was in outpatient service received a nearly thirty years wound is not healing of the patients。”South FuYuan burns, director of the ZhengXingKe aquired NieLanJun said。And this incredible healing time finally let patients Mr. Zhu(aliases)Knee wound evolved into burn scar carcinoma(A kind of skin cancer)。NieLanJun told reporters，Mr. Chu was sent to the hospital，Decay at the back of the knee has been more serious，Because don't pay much attention to the protection of the wound，In the 30 years，Mr. Chu wound burst are always finish and the scab in again after the state of the damage。“The patient was sent to the hospital，We suspect that is skin cancer，And the patient's pathology report also confirmed our judgment。”

　　“在皮肤癌中发病率最高的鳞状细胞癌多发生于烧伤瘢痕，因而曾经有过烧、烫伤经历并留下瘢痕的人一定要当心瘢痕的癌变，尤其是年长时烧伤、烫伤者更要注意，因为瘢痕癌潜伏期的长短与烧伤者年龄呈负相关，年龄越大，发生癌变间隔的时间越短。”聂兰军提醒，患者一旦发现自己的烧、烫伤瘢痕长期破溃不愈、创面呈菜花样生长、并伴有恶臭脓性分泌物覆盖瘤样组织表面，特别是在短期内生长迅速、创面增大者，应高度怀疑癌变的可能。患者应立即至正规医院烧伤专科就诊治疗。

“In the highest incidence of skin cancer squamous cell carcinoma occurs more often in burn scar，So had burned、Burns experience and the scar must be careful of the scar of cancer，Especially when older burns、The burns more attention，Because the scar of preclinical accident carcinoma with burn survivors negatively correlated to the age，older，To become cancerous at intervals of shorter。”NieLanJun remind，Once patients found his burn、Burn scar long-term burst is not more、The wound is food growth pattern、And by the stench purulent cover tumor samples organization surface，Especially in the short term rapid growth、Wound the increase，Should be highly doubt cancerous possibility。Patients should immediately to normal hospital burns received diagnoses treatment。

　　

最易忽视的“夺命”伤患 The most easily ignored“Seizes a life”injury

　　

虫咬伤口处理不慎癌变 Bug bit careless wound care of cancer

　　蚊虫叮咬留下的伤口处理不慎造成感染扩大竟会发生癌变。很多看似不可思议的病例，就发生在我们的身边。50多岁的老叶在菜地干活时，腿上被不知名的小虫子咬伤，不仅起了包而且还很痒，老叶随手抓了几下，结果把皮肤抓破了，伤口很快肿了起来，接着出现溃烂，很长时间都好不了。大约三年后，老叶整个人变得很消瘦，去医院检查才惊讶地发现，腿上那个一直没好的伤口竟然发生了癌变，癌细胞已经转移到了肺部。

Mosquito bites of careless handling left wound infection expand should arise。Many seem incredible cases，What happened in our side。More than 50 years old when I was working in the vegetable leaves，On the leg is not well-known small insect bites，Not only played a bag and also very itchy，It leaves caught some，The skin scratched，The wound soon swell up，Then appear canker，A long time will not。About three years，The leaves become very thin，Go to a hospital checking was shocked to find，On the leg that hasn't been good wound unexpectedly happened cancerous，The cancer cells have been moved to the lungs。

　　有专家表示，慢性皮肤溃疡虽然是一种常见的多发病，但却非常容易被忽视，“如果不及时治疗，会出现很多并发症，短的七八个月，长的七八年，就可以导致局部细胞基因突变，转成癌变”。

Experts say，Chronic ulcer though is a common frequently-occurring disease，But it is very easy to ignore，“If not treated in time，There will be many complications，Short on seven or eight，Long 78，Can lead to local cell gene mutations，Into cancerous”。

　　

被排气管烫伤引发败血症 Be the exhaust scald caused sepsis

　　烧伤、车祸等外伤造成的慢性皮肤溃疡如未正确治疗，可引起全身的败血症。小吴有一次坐摩托车不小心被排气管烫伤，腿上留下一块鸡蛋大的伤口。伤口出现化脓，小吴听朋友介绍拿了些草药敷在伤口上。几个月下来，小吴腿上的伤口不停溃烂，整条腿竟肿得像只“大象腿”。到医院检查后才知道，他腿上的皮肤慢性溃疡已引起了败血症。

burns、Car accident caused by chronic injury such as skin ulcers if not correct treatment，Can cause systemic sepsis。Xiao wu once sat motorcycle exhaust pipe with burns，On the leg leave a eggs wound。Appear festering wound，Xiao wu listen to friends got some herbal apply is on the wound。A few months down，Xiao wu leg wound kept mouths，A leg was swollen like only“The elephant leg”。After checked to the hospital to know，He on the legs of chronic skin ulcer has caused the sepsis。

　　

口腔溃烂不注意成口腔癌 Oral canker do not pay attention to oral cancer

　　没多少人会对口疮过多注意，他们一般觉得硬挺几天也就好了。诚然生口疮后，大多数人只会出现牙龈肿痛、口腔溃疡、舌尖糜烂或喉咙肿痛等症状，看起来只是有点“上火”，有什么关系呢？

Not many people will KouChuang too much attention to，They generally feel dull color.gives few days are good。Admittedly born after KouChuang，Most people will only their gingival swelling and pain、Oral ulcer、The tip of the tongue erosion or sore throat and other symptoms，It seems that only a little“fire”，Have what relation？

　　在口腔溃疡中，最常见的是创伤性溃疡，一般用药一段时间可以愈合，不会复发。但是，如果一个或数个口腔溃疡反复发作甚至此起彼伏，疼痛难忍或伴有其他部位的溃疡(如外阴溃疡)，则要高度重视。因为这很可能是一种免疫性疾病的征兆。而且，如果溃疡、糜烂固定在口底部位，当溃疡发展到出血、颈部淋巴结肿大、发音不清晰时，就有可能转化为口腔癌。

In the oral cavity ulcer，The most common is trauma ulcers，General drug use for a period of time can heal，Won't recurrence。but，If one or several oral ulcer repeated attacks and even to break out，Unbearable pain or accompanied by other parts of the ulcer(Such as genital ulcers)，It must pay close attention to。Because it is likely to be a kind of immunity signs of the disease。and，If ulcer、Fixed in the mouth bottom--a，When ulcer development to bleeding、Cervical lymph node enlargement、Pronunciation is clear，Will be transformed to oral cancer。

　　因此，有了口腔溃疡不要一概轻视，如果一段时间治疗仍不愈合，口腔溃疡底部及边缘出现变硬情况，应及时到医院检查，必要时做病理检查，以明确诊断，再做相应的治疗，以免因“不识庐山真面目”而误诊。

so，Have a mouth ulcer don't all contempt，If the therapy is a period of time don't heal，Oral ulcer bottom and the edge appear harden，Should be checked to the hospital in time，Pathologic study when necessary，In order to make clear diagnosis，To do the corresponding treatment，Lest because“Not to face lushan mountain”And the misdiagnosis。

　　

小心黑痣变成恶性黑色素瘤 Be careful a mole become malignant melanoma

　　专家提醒，皮肤癌的患者男性多于女性，恶性肿瘤中其中以恶性黑色素瘤最为常见。扬子晚报曾经报道过的南医大捐献遗体的女生李娟就是因为恶性黑色素瘤去世。同样，《非诚勿扰2》中孙红雷扮演的李香山也是因为脚背上的黑痣变成了黑色素瘤而去世。有黑色素瘤家族史的人群、足底或会阴部等易摩擦的部位有较大的黑痣的人群，或者已经存在的黑痣突然出现增大、破溃、颜色变化等，要特别注意。

Experts remind，Patients with skin cancer men more than women，In malignant tumor in one of the most common malignant melanoma。Yangzi evening news reported that the south remains of girl li Juan aquired contributions is for malignant melanoma died。The same，《Not sincere not faze 2》In the play LiXiangShan also because sun hong2 lei2 boot of a mole on into melanoma and died。A family history of melanoma crowd、A foot or the perineum, and so easy friction parts have the larger a mole crowd，Or existing a mole suddenly appeared to increase、burst、Color changes, etc，To pay special attention to。

　　

吃得太烫容易患上食道癌 Eat too hot prone to the oesophagus

　　《英国医学杂志》刊登一项研究发现，爱喝热茶等滚烫饮料会增加食管癌危险。有关专家表示饮食进入胃肠，口腔和食管是必经之路。而“高温”饮食接触消化道、口腔黏膜会使其上皮发生破损、溃烂、出血等，如果反复受到不良刺激，就可能诱发癌症。因此，习惯于吃烫饭、喝热饮的人，口腔、食管患癌的风险高。

《British medical journal》Published a study found，The love drink hot tea and very hot drinks will increase risk of esophageal。Experts said into the stomach diet，Oral and esophagus is the only road。and“High temperature”Diet contact the digestive tract、Oral cavity mucous membrane will make its epithelial damage、canker、bleeding，If repeated get bad stimulation，It may cause cancer。so，Used to eating hot meals、Drink hot people，oral、Esophageal cancer risk is high。

　　

专家告诫 Experts warn

　　

自行处理伤口容易导致感染和溃烂 Dispose of the wound is easy to cause infection and decay

　　中大医院皮肤科主任王飞说，很多患者在被锋利物品割伤或是蚊虫咬伤后都不会选择及时就医，认为自行处理就能解决问题，但实际上这样的“懒得去医院”容易遗留后患。而自行处理容易引发感染等一系列问题。

The director of the hospital dermatological WangFei said，Many patients were sharp objects in cut or insect bites would not choose to go to a doctor，Think to manage their own can solve a problem，But that's actually“Don't bother to go to the hospital”Easy for left。And to dispose of infection and so on a series of problems。

　　不少患者的伤口在一开始其实并不严重，但由于自身的疏忽，加上采取了不当的处理办法，最终导致了病情的恶化。王飞提醒，被不明原因的蚊虫叮咬后，如果患者自行抓破伤口，没有及时进行清创处理，很容易感染扩大。而自行往伤口上贴“创可贴”的做法也要不得，伤口会感染扩大，严重的会导致皮肤坏死等问题。专家表示，市民被铁器划伤或被动物叮咬后，需及时到医院注射破伤风或狂犬疫苗等。

Many patients wound in a start actually not serious，But because of their negligence，And taken the wrong way to handle，Eventually led to the aggravation of the illness。WangFei remind，Be unexplained after mosquito bites，If patients to catch broken the wound，No promptly debridement processing，Very susceptible to expand。And to stick to the wound“A band-aid”The practice is succeeding，The wound will expand the infection，Serious can lead to skin necrosis。Experts say，People were scratched or be animal bites iron，Should be in time to hospital injection tetanus or wild dog vaccine, etc。

　　如不能第一时间就医可以选择这么做……

If you can't go to a doctor the first time can choose to do so......

　　在高温夏季，被毒虫咬伤、排气管烫伤的案例屡见不鲜，针对常见的伤口，王飞给读者开出了处理的基本方法：被烫伤后，如果不能在第一时间到医院就诊，可以用凉水冲一下，简单包扎后，立刻到医院专科就诊。而被咬伤后的基本处理方法应是使用碘酒或酒精擦拭，然后到医院就诊。如出现出血，可以采用压迫止血法进行止血，而后使用碘酒或酒精擦拭，再到医院专门门诊进行处理。

High temperature in summer，Be poisonous bite、The exhaust of common burn case，According to the common wound，WangFei to readers the basic methods of payment of the processing：After burns，If not in the first time to the hospital，Can use cold water blunt once，Simple after bandage，Immediately to the hospital received diagnoses。After be bitten by the basic processing method is to use iodine or alcohol should be wiped，And then to hospital。If appear haemorrhage，Can use oppression of bleeding bleeding，And then use iodine or alcohol is wiped，And then to special outpatient clinic hospital treatment。

　　王飞特别提醒，因为皮肤癌和日光暴晒、放射线等刺激有关，有烧伤瘢痕、粘膜白斑、慢性溃疡、经久不愈的瘘管、盘状红斑狼疮、射线皮炎等皮肤损害的人，更要特别注意防晒。此外，针对夏季容易出现的晒伤等问题，王飞也列出了如下方法：

WangFei special remind，Because the skin cancer and sun exposure、The stimulation such as the radiation，Have burn scar、Mucosal spot、Chronic ulcer、The prolonged fuyu fistula、The disk lupus erythematosus、Ray dermatitis and other skin lesions，More to pay special attention to prevent bask in。In addition，In summer prone to sunburn，WangFei also list the following methods：

　　被毒虫咬伤：夏天如果被不明原因的虫子咬伤，不要等到头晕等不适出现时再到医院就医，应立刻到医院专科门诊就诊。

Be poisonous bite：Summer if be unexplained insect bites，Don't wait to dizziness and discomfort appeared to hospitals，Should immediately to the hospital specialist out-patient clinic。

　　被排气管烫伤：在乘坐摩托车时格外注意一下排气管的位置，同时对裸露的腿部进行适当防护。

Be exhaust pipe burn：More attention on a motorcycle exhaust pipe of the position，At the same time the bare legs to proper protection。

　　被太阳晒伤：如出现皮肤的急性损伤，如红肿、起疱、流水等症状，需要及时治疗。而晒后蜕皮则是一种慢性损伤。一旦夏天暴晒后，先用干毛巾擦去汗液，再用凉毛巾冷敷皮肤片刻，这样就能迅速消除皮肤灼热的感觉。(通讯员 何松明 程守勤 记者 杨甜子)

sunburn：If there is an acute injury of the skin，Such as red、Up blister、Symptoms such as water，Need timely treatment。And sunburnt molting is a chronic injury。Once the summer after exposure to the sun，With dry towel first wiped sweat，Garnish with cool towel a cold compress the skin for a while，So that you can quickly eliminate skin burning feeling。(What ChengShouQin reporters SongMing correspondent Yang sweet son)