Summary Introduction: Historical or neglected tumors are giant tumors with a diameter of more than 5 cm and having a long-term evolution. Objective: Identification of the existence of these tumors, the social context and psychological...
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Introduction: Historical or neglected tumors are giant tumors with a diameter of more than 5 cm and having a long-term evolution.
Objective: Identification of the existence of these tumors, the social context and psychological factors associated with delay in diagnosis.
Patients and method: 14 patients diagnosed with historical malignant tumors in a period of 8 years in the dermatology office SC Dermamed SRL from Brasov were studied.
Results: Of the 14 patients diagnosed with historical malignant tumors, nine patients were men (64.28%) and five women (35.72%) with a mean age of 76.43 years, the vast majority of patients being retired. As environment of origin eight patients came from rural areas (57.14%) and six were from urban areas (42.86%). Basal cell carcinoma was the most frequent tumor (n=7) followed by squamous cell carcinoma (n=3), B-cell or T-cell lymphoma (n=2), melanoma (n=1) and verrucous carcinoma (n=1). The mean duration of evolution of the tumors until the time of the first consultation was 5.6 years. The average tumor size was 7 cm (from 5.5 cm to 13 cm). The reason that lead the patient to come to consultation was bleeding (n=4), increasing the volume of the tumor (n=3), ulceration (n=4), visualization of bony structures (n=1) and family influence (n=2). Treatment consisted of surgical excision of the tumor
Rezumat
Introducere: Tumorile istorice sau neglijate sunt tumori gigante, cu diametrul de peste 5 cm, ºi care au o evoluþie de lungã duratã. Obiectiv: Identificarea existenþei acestor tumori, contextul social ºi factorii psihologici asociaþi întârzierii diagnosticului.
Pacienþi ºi metodã: Au fost studiaþi 14 pacienþi care au fost diagnosticaþi cu tumori maligne istorice într-o perioadã de 8 ani în cabinetul de dermatologie Dermamed SRL din Braºov.
Rezultate: Dintre cei 14 pacienþi 9 erau bãrbaþi (64,28%) ºi 5 femei (35,72%), având o vârstã medie de 76,43 ani, marea majoritate fiind pensionari. Ca ºi mediu de provenienþã 8 pacienþi proveneau din mediul rural (57,14%) iar 6 din mediul urban (42,86%). Carcinomul bazocelular a fost tumora cel mai frecvent întâlnitã (n=7) urmatã de carcinomul scuamocelular (n=3), limfomul malign de tip T sau B (n=2), melanomul (n=1) ºi carcinomul verucos (n=1). Durata medie de evoluþie a tumorilor pânã în momentul primei consultaþii a fost de 5,6 ani. Talia medie a tumorilor a fost de 7 cm (de la 5,5 cm la 13 cm). Motivul care a determinat pacientul sã se prezinte la consultaþie a fost hemoragia, creºterea de volum a tumorii, ulcerarea, evidenþierea structurilor osoase ºi influenþa familiei. Tratamentul a constat în cele mai multe cazuri în excizia chirurgicalã a tumorii combinatã sau nu.