Artikel
Marjolin’s ulcers presenting in the neck and face region
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Autoren
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Rusmir Arslanagic
- ENT clinic Sarajevo, Sarajevo, Bosnia Herzegovina
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Selma Arslanagic
- Plastic and reconstructive surgery Clinic of Sarajevo, Clinical University Center, Sarajevo, Bosnia Herzegovina
| Veröffentlicht: | 15. April 2013 |
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Gliederung
Text
The squamous cell carcionoma that arises on chronic ulcers,burns and chronic inflammatory processes is defined as Marjolin's ulcer. The term Marjolin’s ulcer may be applied to any cutaneous carcinoma arising in a cicatrix.
We report three rare cases of an ulcerated skin neoplasms in patients with definitive histological confirmation of squamous cell carcinoma of the neck and face arising on scar. Two patients, 67-year-old man and 62-year-old man, had a burn injury of face and neck that was left to heal without specific treatments, producing a carcinoma. After Marjolin’s ulcers had been histopathologically confirmed both patients underwent first series of chemotherapy. However their condition deteriorated and both patients died. Another patient, a 59-year-old man with scarred face due to discoid lupus erythematosus infliction and ulcerated chronic wound which was consequently histologicaly identified a squamous cell carcinoma. Following excision, split skin grafts were employed to cover the defect.
Marjolin’ ulcers are very aggressive tumors that necessitate a well thought out treatment plan to optimize care and assure patient survival. Marjolin’s ulcers are not as rare as previously thought and commonly occur in burn scars that were not skin grafted and were left to heal secondarily,but also in postinflamation scars.
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