腳底長痣擦藥 竟整塊爛掉 醫一驗:最惡癌症

一名60歲婦人腳底突然長了一顆黑痣,但因沒對生活造成影響,也不以為意,直到痣越變越大顆,還出現傷口,她為了省錢不想就醫,便自行塗抹外傷藥膏,怎料竟整塊爛掉,甚至爛到裡面去,才被緊急送到醫院。最終被診斷是黑色素瘤,屬於皮膚癌中惡性程度最高的一種,醫師直言,其通常很快就會轉移出去,十分不妙。
關於哪種痣較可能是癌症?皮膚科醫師黃柏翰在《醫師好辣》節目中提到,會長毛的痣實際上是先天性的痣,通常不需特別擔心;而痣變多,則與陽光曝曬有關,在於身上有些潛在的痣細胞,經紫外線照射後會有增加的情形,所以痣變多這件事意義不大,除非有原發性的黑色素瘤,開始在做局部轉移,但往往會呈現面積更大、類似潑墨畫暈開來那般,此種情況就要提高警覺。
而最有可能的是痣隆起,黃柏翰說,看起來像痣的惡性腫瘤,最常見的有基底細胞癌及黑色素癌,其中基底細胞癌多發生在農夫、漁夫等,長年在大太陽底下工作的族群身上,其生長速度很慢,但長久了確實會有點凸起。因此,若工作性質屬於需長時間接受日曬,且身上又發現有突起的痣,最好就醫檢查一下。
至於黑色素瘤該如何判斷?黃柏翰分享,可藉由「ABCDE法則」來進行自我檢測:
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1、A(Asymmetric)痣的外觀是否出現不對稱性。
以下內文出自: https://www.chinatimes.com/realtimenews/20240516002098-260418
Fei Teng Wireless Technology Co. Ltd
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