Erstmanifestation eines Ulcus cruris

Körber, Andreas; Jockenhöfer, Finja; Sondermann, Wiebke; Stoffels-Weindorf, Maren; Dissemond, Joachim

doi:10.1007/s00105-017-3950-3

Cited by 9 publications

(4 citation statements)

References 15 publications

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“…In the majority of previous studies, BCC was the most common type of malignancy found in chronic leg ulcers, followed by SCC [ 4 , 5 , 6 , 7 , 8 ]. This is in accordance with our findings.…”

Section: Discussionmentioning

confidence: 99%

“…Malignant transformation of chronic leg ulcers is a rare but possible condition, with squamous cell carcinomas (SCC) being the most common tumour type developing in chronic leg ulcers [ 3 ]. The prevalence of malignancy in chronic leg ulcers in the literature ranges from 2.0% to 2.8% in retrospective analyses [ 4 , 5 , 6 ] and 4% to 10.4% in prospective studies [ 7 , 8 ]. The two most common types of ulcerating skin tumours are basal cell carcinoma (BCC) and SCC [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Malignant Tumours Presenting as Chronic Leg or Foot Ulcers

Toussaint

Erdmann

Berking

et al. 2021

JCM

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Our purpose was to collect data on the incidence of malignant skin tumours presenting as chronic leg or foot ulcers in a tertiary centre, and to analyse the frequency and type of initial clinical misdiagnoses in these cases. A retrospective chart review of cases with melanoma or other malignant neoplasms of the skin of the lower extremity treated in a tertiary centre during January 2010 until February 2020 was conducted to identify cases that presented as chronic ulcers. Out of 673 cases, 26 (3.9%) were identified with a total of 27 malignant tumours presenting as chronic ulcers of the lower leg or foot. Therefrom, seven were diagnosed as melanoma, eight as squamous cell carcinoma, and twelve as basal cell carcinoma. The mean interval until diagnosis for all tumour types was 44.4 months (median 24 months). A delay in correct treatment occurred in 12 out of 26 cases (46%) as a result of misdiagnosis with subsequent treatment as chronic leg or foot ulcers of a different etiology. Misdiagnoses were venous ulcer, traumatic wound, mixed arterial and venous ulcer, arterial ulcer, and ulcer of an unknown origin. Malignant ulcers presenting as chronic ulcers are rare, but often lead to misdiagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Malignant Tumours Presenting as Chronic Leg or Foot Ulcers

Toussaint

Erdmann

Berking

et al. 2021

JCM

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“…1 They manifest on the lower limb and represent between 60% and 80% of all leg ulcerations. 2,3 Their three-months healing rate is estimated at 40% 4 and once healed up to 80% of patients develop a recurrence within 3 months. 5 The prevalence of VLUs is are reported around 1.08% 6 and the incidence being up to 1.33%.…”

Section: Introductionmentioning

confidence: 99%

“…Venous leg ulcers (VLU) are a major clinical challenge and the result of chronic venous insufficiency (CVI) and venous hypertension 1 . They manifest on the lower limb and represent between 60% and 80% of all leg ulcerations 2,3 . Their three‐months healing rate is estimated at 40% 4 and once healed up to 80% of patients develop a recurrence within 3 months 5 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and incidence of venous leg ulcers—A systematic review and meta‐analysis

Probst

Saini

Gschwind

et al. 2023

International Wound Journal

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Venous leg ulcers (VLU) represent a major public health challenge. Little is known about the prevalence and incidence of VLU internationally. Published studies are usually reporting different estimates because of disparities in study designs and measurement methods. Therefore, we conducted a systematic literature review and meta‐analysis to identify the prevalence and incidence of VLU internationally and to characterise the population as reported in these studies. Studies were identified from searches in Medline (PubMed), CINAHL Complete (EBSCOhost), Embase, Scopus, Web of Science, LiSSa (Littérature Scientifique en Santé), Google Scholar and Cochrane Database of Systematic Reviews up to November 2022. Studies were included if their primary outcomes were reported as a period prevalence or point prevalence or cumulative incidence or incidence VLU rate. Fourteen studies met the inclusion criteria, 10 reporting estimates of prevalence, three reporting both prevalence and incidence estimates and one incidence. All were included in meta‐analyses. The results show a pooled prevalence of 0.32% and a pooled incidence of 0.17%. Our results highlighted an extreme heterogeneity across effect sizes for both prevalence and incidence, which prevent a meaningful interpretation of pooled indexes and argue for further studies with specific prevalence‐type reported and target population under study.

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Indikationen und Kontraindikationen der modernen Kompressionstherapie

Dissemond

Storck

Kröger

et al. 2017

Wien Med Wochenschr

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Compression therapy is a physical therapy with few side effects, which is used especially in patients with edema of the lower extremities. The indication for compression therapy is given here for edema of very different origins such as, for example, venous or lymphatic disease symptoms as well as renal insufficiency, obesity or inflammation. However, different contraindications must be considered in these patients. Of particular importance are the advanced peripheral arterial occlusive disease and the polyneuropathy, which need special attention.Due to the large number of different compression materials and systems available today, in spite of these contraindications, compression therapy can be carried out with a large proportion of patients with edema of the lower extremities. The therapy should be adapted to the comorbidities and individual needs as well as personal abilities in the context of a patient-oriented care.

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Erstmanifestation eines Ulcus cruris

Cited by 9 publications

References 15 publications

Malignant Tumours Presenting as Chronic Leg or Foot Ulcers

Malignant Tumours Presenting as Chronic Leg or Foot Ulcers

Prevalence and incidence of venous leg ulcers—A systematic review and meta‐analysis

Indikationen und Kontraindikationen der modernen Kompressionstherapie

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