Burn scar pleomorphic sarcoma—case report

Burn scar pleomorphic sarcoma—case report Eur J Plast Surg (2012) 35:617–620 DOI 10.1007/s00238-011-0598-6 CASE REPORT Daniel Francisco Mello & Stephanie Carneiro & Karen Chicol Gonçalves & Douglas Jorge Received: 10 December 2010 /Accepted: 17 May 2011 /Published online: 4 June 2011 Springer-Verlag 2011 Introduction 47 years earlier with a skin graft having been performed after 6 years to correct the scars (41 years earlier). The Malignant transformation in burn scars was formally patient had a clinical history of hypertension, smoking, described by Jean-Nicholas Marjolin in 1828, although and alcohol abuse. there are reports that this phenomenon had been first noted The examination revealed an ulcerated lesion measur- by Celsus in the first century A.D. The term Marjolin’s ing approximately 7×8×5 cm located to the right of her ulcer (MU) is used to denote the malignancies, predomi- back with central necrosis and an eczematous aspect at nantly squamous cell carcinomas, which develop in scars its boundaries. Extensive and deep hardening in the areas and chronic wounds [1–3]. adjacent to the tumor was palpable having an overall The burned area, especially those which healed by diameter of around 15 cm (Fig. 1). No clinical signs of secondary intention, is at risk of injury by daily activities http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

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Medicine & Public Health; Plastic Surgery
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