Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck

Marjolin’s ulcer is a premalignant condition occurring over scars and chronically inflamed tissue. Squamous cell carcinoma is the most common malignancy associated with Marjolin’s ulcer. The progression of disease and metastasis is relatively slow due to scarring and meagre lymphatic and vascular su...

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Detalles Bibliográficos
Autores principales: Sanjay, Suruchi, Choudhary, Aman, Kumari, Meena, Pandya, Bharati
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Plastic Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443228/
https://www.ncbi.nlm.nih.gov/pubmed/37614266
http://dx.doi.org/10.7759/cureus.42321
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author Sanjay, Suruchi
Choudhary, Aman
Kumari, Meena
Pandya, Bharati
author_facet Sanjay, Suruchi
Choudhary, Aman
Kumari, Meena
Pandya, Bharati
author_sort Sanjay, Suruchi
collection PubMed
description Marjolin’s ulcer is a premalignant condition occurring over scars and chronically inflamed tissue. Squamous cell carcinoma is the most common malignancy associated with Marjolin’s ulcer. The progression of disease and metastasis is relatively slow due to scarring and meagre lymphatic and vascular supply over these scars. We present a case of a large fungating squamous cell carcinoma in a patent having a burn scar over his chest as well as having post-burn contracture of the neck, posing problems in management due to intubation issues. We managed him unconventionally with serial excision under local anesthesia and skin grafting of the wound.
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spelling pubmed-104432282023-08-23 Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck Sanjay, Suruchi Choudhary, Aman Kumari, Meena Pandya, Bharati Cureus Plastic Surgery Marjolin’s ulcer is a premalignant condition occurring over scars and chronically inflamed tissue. Squamous cell carcinoma is the most common malignancy associated with Marjolin’s ulcer. The progression of disease and metastasis is relatively slow due to scarring and meagre lymphatic and vascular supply over these scars. We present a case of a large fungating squamous cell carcinoma in a patent having a burn scar over his chest as well as having post-burn contracture of the neck, posing problems in management due to intubation issues. We managed him unconventionally with serial excision under local anesthesia and skin grafting of the wound. Cureus 2023-07-23 /pmc/articles/PMC10443228/ /pubmed/37614266 http://dx.doi.org/10.7759/cureus.42321 Text en Copyright © 2023, Sanjay et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Plastic Surgery
Sanjay, Suruchi
Choudhary, Aman
Kumari, Meena
Pandya, Bharati
Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck
title Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck
title_full Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck
title_fullStr Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck
title_full_unstemmed Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck
title_short Management Dilemma in a Large Fungating Squamous Cell Carcinoma Over a Marjolin’s Ulcer on the Chest Wall Coexisting With Severe Post-Burn Contracture of the Neck
title_sort management dilemma in a large fungating squamous cell carcinoma over a marjolin’s ulcer on the chest wall coexisting with severe post-burn contracture of the neck
topic Plastic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443228/
https://www.ncbi.nlm.nih.gov/pubmed/37614266
http://dx.doi.org/10.7759/cureus.42321
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