烧伤疤痕头皮角一例报告

ONE CASE OF BURN SCAR SCALP CUTANEOUS HORN

本文介绍一例女性患者。头顶部长角状物逐渐增长两年余。该患者一岁半时头部曾被烧伤,疤痕愈合,无头发生长,擦伤与搔抓易致溃疡且经久不愈。1980年疤痕正中生一玉米粒大硬物,1982年生长迅速。入院检查头顶疤痕面积16×17cm厘米,无头发生长,中心区有一突起物高7.5厘米,基底周长18厘米,呈暗黑色,表面纵行纹,质硬。不能移动,皮角与颅骨骨质相连(照像证实)。手术切除后,可见肿物不向颅骨侵及,切除皮角长7.5厘米,重106克,病理报告为头顶部皮角。

A female had a cutaneous horn grown on the scalp for more than 2 years. When she was 1. 5 years old, her vertex was burned and healed with scar formation. Her hair did not grow in the burned area. Repeated ulceration occurred by frequent abrasion and scratching and did not heal for long. In 1980, a corn grain like hard body formed in the center of the scar and grew quickly since 1982. Inspections upon hospitalization showed that the scar on the vertex had an area of 16 cm X 17 cm, no hair grown there. There was a lump 7. 5 cm high with a base circumference of 18 cm. It was dark in color. Longitudinal stripes appeared on the surface. It was hard and not movable. The cutaneous horn connected with the cranial bone (proved by Roentgenogram). The horn was removed by operation. It was 7. 5 cm in length and 106 grams in weight. No invasion was found in the cranial bone. Examination of the pathological section proved that it was vertex cutaneous horn.