Marjolin ulcer of the scalp: intruder of a burn scar
Citation
Gaye, T., Akan, M., Karaca, M. ve Aköz, T. (2008). Marjolin ulcer of the scalp: intruder of a burn scar. The Journal of Craniofacial Surgery. 19(4), s. 1020-1025.Abstract
Childhood burn accidents are still a problem all
over the world. Besides the contractures and
hypertrophic scar conditions, malignant transformation in the burn scar is one of the primary
concerns later in adulthood. Marjolin ulcer, commonly seen after burn scar, is a neoplastic change in
the scar tissue. The scalp region necessitates
additional attention because of the inevitable
structures it protects. The long-standing ulcers
with malignant transformation may cause invasion
of different layers of the scalp. As the cranium is
invaded, reconstruction after wide excision of these
tumors becomes more difficult to deal with. Scalp
invasion of Marjolin ulcers with different levels is
presented in the following study. Consistent with
the literature, histopathology of the tumors was
squamous cell carcinoma in most patients.
Although rare, mesenchymal tumor is involved in
2 of 9 patients. The latent period of the tumor is
inversely proportional to the age at the time of burn
injury. As the patient is younger at the time of
injury, the occurrence of the ulcer is longer than
expected. Lag period as long as 81 years is detected
in the study. The delayed diagnosis due to social
considerations such as financial limitations
increases the likelihood of cranial invasion. A
single huge scalp flap is often sufficient for soft
tissue defects, and cranioplasty with methyl methacrylate is an appropriate option for reconstruction.
Source
The Journal of Craniofacial SurgeryVolume
19Issue
4URI
https://journals.lww.com/jcraniofacialsurgery/toc/2008/07000https://hdl.handle.net/20.500.12415/6766
Collections
- Makale Koleksiyonu [1253]
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