Skip to main content

Advertisement

SpringerLink
Log in

Squamous carcinoma in a pressure sore with a very short latency period

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Malignancy in a chronic pressure sore is rare among Marjolin’s ulcers. Carcinomas arising in pressure sores are highly aggressive and usually fatal. Although carcinomas in pressure sores are generally well-differentiated squamous carcinomas, they can show quite an aggressive course and do not respond either to chemotherapy or radiotherapy. The mortality rate is high despite wide surgical resection. It must be kept in mind that carcinomas may arise in pressure sores and treatment must be early and aggressive. We report a squamous carcinoma arising in a pressure sore that had a very short latency period. The related literature was reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.

Similar content being viewed by others

References

  1. Arons MS, Lynch JB, Lewis SR, Blocker TG (1965) Scar tissue carcinoma. I. A clinical study with special reference to burn scar carcinoma. Ann Surg 161:170

    CAS  PubMed  Google Scholar 

  2. Bostwick J, Pendergrast WJ, Vasconez LO (1976) Marjolin’s ulcer: an immunologically privileged tumor? Plast Reconstr Surg 57:66

    Google Scholar 

  3. Ceuppens A, Wylock P, De Raeve H (1997) Carcinoma in a pressure sore. Br J Plast Surg 50:382

    CAS  Google Scholar 

  4. Coburn RJ (1978) Malignant ulcers following trauma. In: Cancer of the skin, vol 2, Saunders, Philadelphia

  5. Crawley WA, Dellon AL, Ryan JJ (1978) Does host response determine the prognosis in scar carcinoma? Plast Reconstr Surg 62:407

    Google Scholar 

  6. Dumurgier C, Pujol G, Chevaley J, Bassoulet H, Ucla E, Stchepinsky P (1991) Pressure sore carcinoma: a late but fulminant complication of pressure sores in spinal cord injury patients: case reports. Paraplegia 29:390

    CAS  PubMed  Google Scholar 

  7. Dvork HF (1986) Tumors: wounds that do not heal. N Engl J Med 315:1650

    Google Scholar 

  8. Esther RJ, Lamps L, Schwartz HS (1999) Marjolin ulcers: secondary carcinomas in chronic wounds. J South Orthop Assoc 8(3):181

    CAS  PubMed  Google Scholar 

  9. Fleming MD, Hunt JL, Purdue GF, Sandstad J (1990) Marjolin’s ulcer: a review and re-evaluation of a difficult problem. J Burn Care Rehab 11:460

    CAS  Google Scholar 

  10. Futrell JW, Myers GH (1972) The burn scar as an immunologically privileged site. Surg Forum 23:129

    CAS  PubMed  Google Scholar 

  11. Grotting JC, Bunkis J, Vasconez LO (1987) Pressure sore carcinoma. Ann Plastic Surg 118:527

    Google Scholar 

  12. Herman LE, Rothman KF (1989) Prevention, care and treatment of pressure (decubitus) ulcers in intensive care unit patients. J Intensive Care Med 4:117

    Google Scholar 

  13. Horton CE,Crawford HH, Love HS, et al (1958) The malignant potential of the burn scar. Plast Reconstr Surg 22:348

    Google Scholar 

  14. Lenz O, Plogmeier K, Fansa H, Schneider W (2001) Surgical treatment of cicatricial carcinoma—methods and results. Chirurg 72(6):690

    Article  CAS  PubMed  Google Scholar 

  15. Menkin V (1960) Role of inflammation in carcinogenesis. Br J Med 1:1586

    Google Scholar 

  16. Mustoe T, Upton J, Marcellino V, Tun CJ, Rossier AB, Hachend HJ (1986) Carcinoma in chronic pressure sores: a fulminant disease process. Plast Reconstr Surg 77:116

    Google Scholar 

  17. Ozek C, Cankayali R, Bilkay U et al (2001) Marjolin’s ulcers arising in burn scars. J Burn Care Rehabil 22:384

    CAS  PubMed  Google Scholar 

  18. Ratliff CR (2002) Two case studies of Marjolin’s ulcers in patients referred for management of chronic pressure ulcers. J WOCN 29:266

    Article  Google Scholar 

  19. Ryan RF, Litwin MS, Krementz ET (1981) A new concept in the management of Marjolin’s ulcers. Ann Surg 193:598

    CAS  PubMed  Google Scholar 

  20. Stankard CE, Cruse CW, Wells KE, Karl R (1993) Chronic pressure ulcer carcinomas. Ann Plast Surg 30:274

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Yil University, 65100, Van, Turkey

    O. Tan & B. Atik

  2. Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey

    M. Bekerecioglu & M. Tercan

  3. Department of Pathology, Faculty of Medicine, Yil University, Van, Turkey

    I. Bayram

Authors
  1. O. Tan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Atik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Bekerecioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Tercan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. I. Bayram
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to O. Tan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tan, O., Atik, B., Bekerecioglu, M. et al. Squamous carcinoma in a pressure sore with a very short latency period. Eur J Plast Surg 26, 360–362 (2003). https://doi.org/10.1007/s00238-003-0565-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-003-0565-y

Keywords

Search

Navigation