2014
DOI: 10.4103/0974-2077.146676
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A rare case of synchronous saree cancer

Abstract: Skin cancers are rather uncommon malignancies comprising less than 1% of all the cancers in India. Saree cancer is a rare type of squamous cell carcinoma (SCC). Saree and dhoti are traditional male and female costumes respectively, which is unique to the Indian subcontinent. Constant wear of this clothing tightly around the waist results in changes in pigmentation and scaling of the skin, acanthosis, scar and ulceration and subsequent, gradual malignant changes. The process of repeated trauma over a long time … Show more

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Cited by 4 publications
(5 citation statements)
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“…The treatment of localized disease is excision of the cancer along with acanthotic skin changes followed by primary closure, flap closure, or splint skin grafting (SSG) to cover the soft tissue defect. [25] In our case, we excised the ulcerated lesion with adequate margins followed by wound resurfacing by SSG. Wound closure by SSG is rapid, more feasible in case of large post-excision defect and local follow-up is easier especially if locoregional disease spread is evident.…”
Section: Discussionmentioning
confidence: 97%
See 1 more Smart Citation
“…The treatment of localized disease is excision of the cancer along with acanthotic skin changes followed by primary closure, flap closure, or splint skin grafting (SSG) to cover the soft tissue defect. [25] In our case, we excised the ulcerated lesion with adequate margins followed by wound resurfacing by SSG. Wound closure by SSG is rapid, more feasible in case of large post-excision defect and local follow-up is easier especially if locoregional disease spread is evident.…”
Section: Discussionmentioning
confidence: 97%
“…[4] Only a handful of cases are reported in the English literature, and the knowledge of its existence is even rare in Indian medical fraternity. [5] We describe an interesting case of waistline SCC in an elderly male with coexistent malignant and precancerous lesion in the same patient.…”
Section: Introductionmentioning
confidence: 99%
“…This results in the accumulation of irritants (sweat, dust) within the cord tying area leading to itching and scratching. 5 This leads to pigmentation and scaly changes (dermatoses) in the skin. These dermatoses may be considered the premalignant lesion that later on turns into frank malignancy.…”
Section: Discussionmentioning
confidence: 99%
“…In the urban area, the health conscious individual is prompt in consulting a specialist and receives timely healthcare thus halting the progression of the disease early. 5 Indian subcontinent has given different names to this waistline cancer. When in the northern part its called dhoti cancer, a term put forth by Khanolkar and Suryabhai in 1945.…”
Section: Discussionmentioning
confidence: 99%
“…The tight knot around the waist at a similar position causes long-term friction and along with perspiration leads to pigmentation and scale-like changes in the skin which eventually undergo malignant transformation. The knowledge and existence of such malignancy is sparse in Indian medical fraternity [ 1 ] where it is predominantly observed, and hence, there is a need to publish this case and review literature.…”
Section: Introductionmentioning
confidence: 99%