Malignant degeneration of scars in elderly people (Marjolin's ulcers)

Brzeziński, Piotr; Solovan, Caius; Chiriac, Anca

doi:10.1111/iwj.12407

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Antibiotic use is not recommended except for the immunosuppressed or toxic appearing patients, and patients who have risk for endocarditis or methicillinresistant Staphylococcus aureus infection [4]. Some pilonidal abscesses have been associated with a malignant change, which is called Marjolin's ulcer [5]. Therefore, a biopsy should be performed in patients who do not respond to conservative management to rule out squamous cell carcinoma [4].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

Our Dermatol Online

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Background: Pilonidal disease is a common condition that usually affects young men. The disease presents with pain, cysts, abscesses, pits, sinus tracts, retained hairs and draining in the sacrococcygeal area. Various surgical techniques have been described in the treatment of pilonidal disease. Modified Limberg flap is a commonly used procedure, however, studies which compared the outcomes of modified Limberg flap technique have reported different results. Diverse geometric rhomboid excisions in shape and size, and varied lateralization distance can lead to differences in healing time, complication and recurrence rates. Standardization of the modified Limberg flap technique can help to compare the end results of the surgical intervention more accurately. Therefore, we developed an acetate template to draw a sketch map of Limberg/modified Limberg flap preoperatively, in order to standardize the procedure. Materials and Methods: A Limberg/modified Limberg flap template was prepared by using an online drawing program. Rhomboid flaps with four different sizes were drawn. The template was printed onto an acetate sheet. With the help of a sewing needle, pin holes were performed on the acetate template. The borders of the rhomboid excision and the Limberg/modified Limberg flap were defined with the acetate template and drawn on the gluteal region by using a water resistant multipurpose pen. The surgeon decided which rhomboid flap size to choose according to the dispersion of the pilonial sinus openings. All pilonidal pits and abscess orifices stayed within the resected area. The size of modified Limberg flap was standardized by the help of the acetate template. Results: This study included 10 male patients with pilonidal disease between the ages of 20 to 35. The mean disease duration of the patients was 4.2 years. All the patients underwent modified Limberg flap surgery using an acetate template. The follow-up period was three months. We observed surgical site infection only in one patient within seven days, postoperatively. Conclusions: We suggest that using a standardized template while performing a modified Limberg flap procedure for the treatment of pilonidal disease may help to evaluate and compare the outcomes of this surgical procedure more accurately.

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Section: Introductionmentioning

confidence: 99%

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2019

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Úlcera De Marjolin E Amputação De Membro Inferior Como Terapêutica Instituída: Um Relato De Caso

Costa¹,

Oliveira²

2022

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O câncer de pele caracteriza-se por divisão anormal de células cutâneas, compreendendo o tipo mais comum de neoplasia no mundo e se configurando como um sério problema de saúde pública. Nesse contexto, o carcinoma espinocelular tem significativa importância por representar boa parte dos casos e apresentar potencial para lesão tecidual e metástase. De forma rara a prática médica se depara com uma forma especial deste tipo de tumor: a Úlcera de Marjolin. Objetivou-se relatar a clínica, tratamento e evolução após amputação de membro inferior de paciente diagnosticado com carcinoma espinocelular originado em sítio cicatricial residual a uma lesão térmica. Trata-se de um relato de caso de um indivíduo do sexo masculino, 52 anos, que percebeu aos 40 anos o surgimento de uma lesão crostosa que posteriormente tornou-se ulcerativa sobre tecido cicatricial proveniente de queimadura sofrida na infância na região poplítea esquerda. Somente após 12 anos de evolução concluiu-se o diagnóstico e instituiu-se tratamento com amputação transfemoral no membro inferior esquerdo. A úlcera de Marjolin, quando diagnosticada e tratada adequadamente e de forma precoce, compreende um bom prognóstico a pacientes acometidos por esta entidade clínica. Evidenciou-se um desfecho desfavorável que se deu motivado pelo atraso no diagnóstico e tratamento da neoplasia.

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Malignant degeneration of scars in elderly people (Marjolin's ulcers)

Cited by 2 publications

References 7 publications

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Úlcera De Marjolin E Amputação De Membro Inferior Como Terapêutica Instituída: Um Relato De Caso

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