SummaryMarjolin's ulcer, which was first described more than 1.5 centuries ago, involves a rare malignant transformation of chronic scar tissue or ulcer. Marjolin's ulcer invading the skull, dura mater and the brain is quite exceptional. A case is presented of a patient with a massive Marjolin's ulcer arising in chronic scarring of the scalp following a fire burn 57 years previously. The tumour had invaded the skull, dura mater and the brain. The patient was treated surgically but died after 20 days. This report aims to highlight the importance of appropriate and expeditious initial wound management of scar ulcers of the scalp.KEY WORDS: Brain. Marjolin's ulcer. Scalp. Squamous cell carcinoma.Úlcera penetrante de Marjolin, que afecta al hueso, duramadre y cerebro, causada por un golpe romo en una cicatriz de quemadura.
ResumenLa úlcera de Marjolin, que se describió por vez primera hace más de siglo y medio, se refiere a la rara transformación maligna de una vieja cicatriz o de una úlcera crónica. La úlcera de Marjolin, que invada el cráneo y el cerebro es bastante excepcional. Se presenta el caso de un paciente con una extensa úlcera de Marjolin, que aparece en una cicatriz secundaria a una quemadura ocurrida 50 años antes. El tumor había invadido el cráneo, la duramadre y el cerebro. Se enfermo murió 20 días después de la intervención quirúrgica. Este trabajo tiene como fin destacar la importancia de un tratamiento, rápido y apropiado, de las cicatrices ulceradas del cuero cabelludo.PALABRAS CLAVE: Cerebro. Ulcera de Marjolin. Cuero cabelludo. Carcinoma células escamosas.
✓ Spinal intramedullary ependymal cysts are extremely rare. Fourteen cases have been reported in the literature, and only one was associated with another congenital lesion. The authors describe the case of a 33-year-old man in whom an intramedullary ependymal cyst and filar lipoma were present. These lesions were diagnosed using magnetic resonance imaging and were treated surgically. Pathological examination confirmed the diagnosis. At 6 months post-surgery, there was no evidence of recurrence.
Neurenteric cyst of the cervical spine is an uncommon congenital lesion and usually associated with many craniocervical anomalies. Solitary neurenteric cyst of the upper cervical spine is very rare. Surgery is the main treatment method. An 11-year-old female child presented with the symptoms of neck pain that radiated to both shoulders and arms. Magnetic resonance imaging of the patient showed a cystic mass lesion ventral to the spinal cord and lying at the level from C1 to C3. She underwent surgical resection via a posterior approach and complete cyst resection was performed. Although removal of a neurenteric cyst through a posterior approach may result in spinal cord injury, this method is easier and safer than the anterior approach, especially in children.
The complications following cerebral hydatid cyst surgery in children are various and usually not fatal. When appropriate surgical procedures are planned and carefully applied, the results will be excellent with no mortality.
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