Carcinomas with the Appearance of Chronic Wounds

AimCutaneous malignancies often develop in traumatized, degenerative, and chronically inflamed skin or scar tissues. The observations indicated that cutaneous malignancies often arise in burn scars (Marjolin's ulcer), venous ulcers, compression wounds, cystostomy sites, chronic pilonidal sinus,...

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Main Authors: Bilsev İnce, Mehmet Dadacı, Zeynep Altuntaş, Fatma Bilgen
Format: Article
Language:English
Published: Galenos Yayincilik 2014-08-01
Series:Namık Kemal Tıp Dergisi
Subjects:
Online Access: http://namikkemalmedj.com/archives/archive-detail/article-preview/carcinomas-with-the-appearance-of-chronic-wounds/40496
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author Bilsev İnce
Mehmet Dadacı
Zeynep Altuntaş
Fatma Bilgen
author_facet Bilsev İnce
Mehmet Dadacı
Zeynep Altuntaş
Fatma Bilgen
author_sort Bilsev İnce
collection DOAJ
description AimCutaneous malignancies often develop in traumatized, degenerative, and chronically inflamed skin or scar tissues. The observations indicated that cutaneous malignancies often arise in burn scars (Marjolin's ulcer), venous ulcers, compression wounds, cystostomy sites, chronic pilonidal sinus, hidradenitis suppurativa, lupus scars, chronic lymphedema, traumatic wounds, and sites of chronic osteomyelitis. The current study presents a differential diagnosis and treatment approach in patients who received wound care and treatment due to the presence of chronic wounds and in whom biopsy revealed malignancy.Material and MethodsFive patients who presented to the clinic due to chronic wounds between 2008 and 2012 and in whom biopsy revealed carcinomas were included in the study. The patients were retrospectively reviewed in terms of previously administered therapies, pathological diagnosis, predisposing factors, time to malignant degeneration, reconstruction techniques, complications, and recurrence.ResultsThe pathological examination revealed verrucous carcinoma in three patients and squamous cell carcinoma in two patients. The mean of malignant degeneration time was 8 years (5- 12).ConclusionChronic skin irritation and exposure of the soft tissues to different growth factors, and cytotoxic factors arising due to inflammation are thought to play an important role in malignant transformation. Providing good wound care, avoiding traumas, and obtaining biopsy from non-healing wounds to establish early diagnosis are very important in patients with chronic wounds. Squamous cell carcinoma was the most commonly encountered histological tumor type. Moreover, it must also be remembered that cutaneous malignancies can develop in patients with sustained open wounds and risk factors.
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spelling doaj.art-5b9ae1b834a94c6ebae5fe6ab4e35a152023-02-15T16:09:33ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622014-08-0122586213049054Carcinomas with the Appearance of Chronic WoundsBilsev İnce0Mehmet Dadacı1Zeynep Altuntaş2Fatma Bilgen3 Necmettin Erbakan Üniversitesi MeramTıp Fakültesi, Plastik Cerrahi Anabilim Dalı, Konya Necmettin Erbakan Üniversitesi MeramTıp Fakültesi, Plastik Cerrahi Anabilim Dalı, Konya Necmettin Erbakan Üniversitesi MeramTıp Fakültesi, Plastik Cerrahi Anabilim Dalı, Konya Elbistan Devlet Hastanesi, Plastik Cerrahi Kliniği, Kahramanmaraş AimCutaneous malignancies often develop in traumatized, degenerative, and chronically inflamed skin or scar tissues. The observations indicated that cutaneous malignancies often arise in burn scars (Marjolin's ulcer), venous ulcers, compression wounds, cystostomy sites, chronic pilonidal sinus, hidradenitis suppurativa, lupus scars, chronic lymphedema, traumatic wounds, and sites of chronic osteomyelitis. The current study presents a differential diagnosis and treatment approach in patients who received wound care and treatment due to the presence of chronic wounds and in whom biopsy revealed malignancy.Material and MethodsFive patients who presented to the clinic due to chronic wounds between 2008 and 2012 and in whom biopsy revealed carcinomas were included in the study. The patients were retrospectively reviewed in terms of previously administered therapies, pathological diagnosis, predisposing factors, time to malignant degeneration, reconstruction techniques, complications, and recurrence.ResultsThe pathological examination revealed verrucous carcinoma in three patients and squamous cell carcinoma in two patients. The mean of malignant degeneration time was 8 years (5- 12).ConclusionChronic skin irritation and exposure of the soft tissues to different growth factors, and cytotoxic factors arising due to inflammation are thought to play an important role in malignant transformation. Providing good wound care, avoiding traumas, and obtaining biopsy from non-healing wounds to establish early diagnosis are very important in patients with chronic wounds. Squamous cell carcinoma was the most commonly encountered histological tumor type. Moreover, it must also be remembered that cutaneous malignancies can develop in patients with sustained open wounds and risk factors. http://namikkemalmedj.com/archives/archive-detail/article-preview/carcinomas-with-the-appearance-of-chronic-wounds/40496 chronic woundmalignancycutaneous
spellingShingle Bilsev İnce
Mehmet Dadacı
Zeynep Altuntaş
Fatma Bilgen
Carcinomas with the Appearance of Chronic Wounds
Namık Kemal Tıp Dergisi
chronic wound
malignancy
cutaneous
title Carcinomas with the Appearance of Chronic Wounds
title_full Carcinomas with the Appearance of Chronic Wounds
title_fullStr Carcinomas with the Appearance of Chronic Wounds
title_full_unstemmed Carcinomas with the Appearance of Chronic Wounds
title_short Carcinomas with the Appearance of Chronic Wounds
title_sort carcinomas with the appearance of chronic wounds
topic chronic wound
malignancy
cutaneous
url http://namikkemalmedj.com/archives/archive-detail/article-preview/carcinomas-with-the-appearance-of-chronic-wounds/40496
work_keys_str_mv AT bilsevince carcinomaswiththeappearanceofchronicwounds
AT mehmetdadacı carcinomaswiththeappearanceofchronicwounds
AT zeynepaltuntas carcinomaswiththeappearanceofchronicwounds
AT fatmabilgen carcinomaswiththeappearanceofchronicwounds