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Burn Scar Carcinoma of the Head and Neck

Burn Scar Carcinoma of the Head and Neck Abstract • Carcinomas arising in burn scars are uncommon. Of the several hundred cases reported in the world's literature, 30% have been described in the head and neck region. Acute burn scar carcinoma, which occurs within one to two years of injury, is rare, while the chronic type, with an average latency of 35 years from injury to diagnosis, is much more common. Two cases of burn scar carcinoma are presented. Treatment is based on the histologic cell type (usually squamous cell or basal cell), in addition to the clinical stage. Adjuvant radiation therapy can often improve the results obtained with surgical excision alone. Proper initial treatment of burns, with early use of skin grafts, might curb the development of these potentially serious tumors. (Arch Otolaryngol Head Neck Surg 1988;114:1038-1040) References 1. Novick M, Gard DA, Hardy SB, et al: Burn scar carcinoma: A review and analysis of 46 cases . J Trauma 1977;17:809-817.Crossref 2. Marjolin JN: Dictionnaire de Medicine . Paris, B'echet, 1828. 3. Steffan C: Marjolin's ulcer: Report of two cases and evidence that Marjolin did not describe cancer arising in scars of burns . Am J Dermatol 1984;6:187-193.Crossref 4. Treves N, Pack GJ: The development of cancer in burn scars: An analysis and report of 34 cases . Surg Gynecol Obstet 1930;51:749-782. 5. Browne HR: Marjolin's ulcer . Am J Surg 1940;54:466-471.Crossref 6. Horton CE, Crawford HH, Love HG, et al. The malignant potential of burn scar . Plast Reconstr Surg 1958;22:348-353.Crossref 7. Blake GB, Wilson JSP: Malignant tumors of the ear and their treatment . Br J Plast Surg 1974;27:67-76.Crossref 8. Lawrence EA: Carcinoma arising in the scars of thermal burns . Surg Gynecol Obstet 1952;95:579-588. 9. Arons MS, Lynch JB, Lewis SR, et al: Scar tissue carcinoma: I. A clinical study with special reference to burn scar carcinoma . Ann Surg 1965;161:170-188.Crossref 10. Neuman Z, Ben-Hur N, Shulman J: Trauma and skin cancer: Implantation of epidermal elements and possible cause . Plast Reconstr Surg 1963;32:649-656.Crossref 11. MacKenzie J, Rous P: The experimental disclosure of latent neoplastic changes in tarred skin . J Exp Med 1941;73:391-416.Crossref 12. Arons MS, Rodin AE, Lynch JB, et al: Scar tissue carcinoma: II. An experimental study with special reference to burn scar carcinoma . Ann Surg 1966;163:445-460.Crossref 13. Bostwick J III, Pendergrast WJ, Vasconez LO: Marjolin's ulcer: An immunologically privileged tumor? Plast Reconstr Surg 1976;57:66-69.Crossref 14. Harkins HN: The surgical significance of Marjolin's ulcer . Surgery 1956;37:645-653. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860210104027
Publisher site
See Article on Publisher Site

Abstract

Abstract • Carcinomas arising in burn scars are uncommon. Of the several hundred cases reported in the world's literature, 30% have been described in the head and neck region. Acute burn scar carcinoma, which occurs within one to two years of injury, is rare, while the chronic type, with an average latency of 35 years from injury to diagnosis, is much more common. Two cases of burn scar carcinoma are presented. Treatment is based on the histologic cell type (usually squamous cell or basal cell), in addition to the clinical stage. Adjuvant radiation therapy can often improve the results obtained with surgical excision alone. Proper initial treatment of burns, with early use of skin grafts, might curb the development of these potentially serious tumors. (Arch Otolaryngol Head Neck Surg 1988;114:1038-1040) References 1. Novick M, Gard DA, Hardy SB, et al: Burn scar carcinoma: A review and analysis of 46 cases . J Trauma 1977;17:809-817.Crossref 2. Marjolin JN: Dictionnaire de Medicine . Paris, B'echet, 1828. 3. Steffan C: Marjolin's ulcer: Report of two cases and evidence that Marjolin did not describe cancer arising in scars of burns . Am J Dermatol 1984;6:187-193.Crossref 4. Treves N, Pack GJ: The development of cancer in burn scars: An analysis and report of 34 cases . Surg Gynecol Obstet 1930;51:749-782. 5. Browne HR: Marjolin's ulcer . Am J Surg 1940;54:466-471.Crossref 6. Horton CE, Crawford HH, Love HG, et al. The malignant potential of burn scar . Plast Reconstr Surg 1958;22:348-353.Crossref 7. Blake GB, Wilson JSP: Malignant tumors of the ear and their treatment . Br J Plast Surg 1974;27:67-76.Crossref 8. Lawrence EA: Carcinoma arising in the scars of thermal burns . Surg Gynecol Obstet 1952;95:579-588. 9. Arons MS, Lynch JB, Lewis SR, et al: Scar tissue carcinoma: I. A clinical study with special reference to burn scar carcinoma . Ann Surg 1965;161:170-188.Crossref 10. Neuman Z, Ben-Hur N, Shulman J: Trauma and skin cancer: Implantation of epidermal elements and possible cause . Plast Reconstr Surg 1963;32:649-656.Crossref 11. MacKenzie J, Rous P: The experimental disclosure of latent neoplastic changes in tarred skin . J Exp Med 1941;73:391-416.Crossref 12. Arons MS, Rodin AE, Lynch JB, et al: Scar tissue carcinoma: II. An experimental study with special reference to burn scar carcinoma . Ann Surg 1966;163:445-460.Crossref 13. Bostwick J III, Pendergrast WJ, Vasconez LO: Marjolin's ulcer: An immunologically privileged tumor? Plast Reconstr Surg 1976;57:66-69.Crossref 14. Harkins HN: The surgical significance of Marjolin's ulcer . Surgery 1956;37:645-653.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Sep 1, 1988

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