ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Marjolin’s Ulcer: A Retrospective Study Of 28 Cases Of Marjolin’s Ulcer Due To Burn Injury And A Review Of The Literature
Birol CİVELEK, MD,a Selim ÇELEBİOĞLU, MDa
aDepartment of Plastic and Reconstructive Surgery, S.S.K. Ankara Hospital, ANKARA
Objective: In this retrospective study, burn treatment modalities, natural progression, survival characteristics and recurrences of Marjolin’s Ulcer were evaluated.
Material and Methods: A group of 28 cases diagnosed and treated in our department from 1993 to 2004 with the diagnosis of squamous cell carcinoma of the skin developing in areas of previously-burned skin were assessed by chart review.
Results: It was noticed that in none of the cases reviewed had surgical debridement or skin grafting been employed for the treatment of burn wounds. Simple application of local antibiotic ointments comprised treatment and the wounds healed by secondary intention. When these patients were diagnosed with Marjolin’s Ulcer, most of them underwent tumor excision and split-thickness skin grafting. Lymph node dissections were performed only in those cases with palpable regional lymph nodes. During the follow-up period, three of these patients died due to cerebral metastasis. The majority of the cases showed no local recurrence or distant metastases.
Conclusion: Burn wounds require careful assessment and correct treatment, especially when the burn is deep. Surgeons should not hesitate to be aggressive and diligent in diagnosis and treatment, particularly when these patients present late.Keywords: Burn, carcinomaTurkiye Klinikleri J Med Sci 2004, 24:603-607
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