Ms. Chen’s swollen feet are quite serious. (Provided by Chang Gung Memorial Hospital)
[Reporter Wu Liangyi/Taipei Report]27-year-old Ms. Chen developed 2 small protrusions on her back when she was in her 10s. She thought it was pimples, and she didn’t pay much attention to them. But the protrusions have spread more and more over the past few years. The more it grows, the bigger it grows, causing the back to bulge, like a giant worm growing behind the shoulders.
In addition to having to endure the strange eyes, the protuberances will also be itchy and seriously affect sleep, life and work, making her miserable. Miss Chen has undergone multiple surgeries and various treatments, but the results are not satisfactory, and then came to Chang Gung Hospital for evaluation by the team. After 8 hours of surgical resection and postoperative radiotherapy, the patient has been followed up in the outpatient clinic for 2 years, and there is no sign of recurrence.
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Cai Jiaxuan, director of the plastic surgery department of Keelung Chang Gung Hospital, said that this is a very serious case in his treatment record. When Ms. Chen came to see the doctor, the area of the back bulge had greatly expanded, and there were many swollen crab feet at the lesions. During adolescence, pimples often develop with hands, and the repeated inflammation and infection, coupled with the patient’s own swollen physique, have resulted in such serious results.
Ms. Chen’s swollen feet are quite serious. (Provided by Chang Gung Memorial Hospital)
After evaluation by the team of Keelung Chang Gung Hospital, including plastic surgery, dermatology, and radiation oncology, a “one-time” operation was arranged to successfully remove 500 grams of crab foot swelling, and postoperative radiotherapy was arranged. The patient was discharged after 5 days. home. At present, there are no protrusions on the back, and finally let Miss Chen get rid of this “giant bug”.
After treatment, Ms. Chen’s swollen feet have been greatly improved. (Provided by Chang Gung Memorial Hospital)
Cai Jiaxuan said that in China, the constitution of swollen crab legs accounts for about 1% of the total population, and 1 in 100 people may have swollen crab legs. The most common sites of swollen crab legs were 48.9% of the anterior chest and 26.9% of the back scapula. Crab foot swelling was considered a difficult disease to treat in the past, and the most important reason was that the chance of recurrence after surgical resection was still as high as 50% to 70%. The size of swollen crab feet varies from person to person. Current studies have found that yellow and black people are more likely to get swollen crab legs. Another study showed that there is also a link between swollen feet and familial inheritance.
Cai Jiaxuan explained that crab foot swelling and another hypertrophic scar hyperplasia that looks very similar are caused by skin wounds reaching the dermis to stimulate fibroblasts to produce collagen to repair wounds. Although they are benign diseases, they are very malignant. People with different constitutions will have different appearances. The swollen crab feet will proliferate to the normal part other than the wound, like crab feet, while the hypertrophic scar will only be limited to the original injured part, and the scar will only bulge beyond the original skin. the height of.
Currently, non-surgical and surgical treatments are available for the treatment of crab foot swelling or hypertrophic scar hyperplasia. Cai Jiaxuan said that non-surgical treatment methods include pressure therapy using silicone sheets, or applying scar-removing silicone ointment to the lesions, or direct injection of steroids, once every 1 to 2 months, and 6 to 12 injections are required.
In addition, cryotherapy can also be taken, or dye laser and Fraxel laser treatment can be selected. However, for patients with a wide range of crab foot swelling or hypertrophic scar hyperplasia, the most recommended treatment at present is surgical resection plus postoperative radiation therapy, and the recurrence rate can be reduced to 10% to 15%.
Many patients with large-scale swollen crab feet or hypertrophic scar hyperplasia adopt a “peaceful coexistence” attitude with the disease. Cai Jiaxuan reminds that although the swollen crab feet is not fatal, it is very annoying, not only obstructs the appearance, but may also seriously affect life. , If the disease has affected personal life, it is recommended to seek professional medical team consultation.
Chang Gung Hospital cured the extremely difficult crab foot swelling. From left are Chen Junbin, a physician in the Department of Dermatology, Linkou Chang Gung Hospital, Chen Zhihao, Deputy Director of the Department of Surgery, Keelung Chang Gung Hospital, Lai Qijun, President of Keelung Chang Gung Hospital, and Cai Jiaxuan, Director of Plastic Surgery, Keelung Chang Gung Hospital. (Photo by reporter Wu Liangyi)
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