Ann. Medit. Burns Club - voL VII - n. 4 - December 1994
A RARE CASE OF BASAL CELL EPITHELROMA IN A PATIENT WITH BURNS SEQUELAE Zermani R.*, Toschi S.*, Ricci R.** * Divisione di Chirurgia Plastica. e Ricostruttiva e
Centro Ustioni, Universiti degli Studi di Parma, Parma, Italy SUMMARY. An unusual case is described of basal cell epitheliorna in the pre-sternal area in an elderly man, who had suffered bums in the same area some 65 years previously. The neoformation was excised and a Limberg flap was used to repair substance loss. It is recommended that untreated burn scars should be periodically checked for local signs such as ulceration, bleeding and the presence of pus. Introduction The association between burn scars and
skin cancer was first noticed by Celsus in the year 100 BC, but it was only in the last
century (1828) that Marjolin provided an accurate first clinical description. Research was
later perfected and a number of other cases have been reported in the literature. Clinical case In 1992 a 70-year-old patient
presented with an ulcefated nodular lesion in the pre~sternal area associated with a scar.
Anamnesis found that the patient as a child had suffered a boiling water burn in the same
site. The clinical aspect of the lesion suggested prickle cell carcinoma or a Marjolin
ulcer. Discussion and conclusion The precise mechanism of the malignant
degeneration of scars is not known. Most theories hypothesize chronic irritation of the
scar as the triggering factor for the development of a carcinoma. According to some
studies, slow initial recovery of the lesion and scar instability are important factors.
Genetic predisposition and immumodepression would appear to be less significant
pathogenetic factors. RESUME. Les auteurs décrivent un cas peu commun d'épithélioma basocellulaire dans la région antérieure du sternum dans un patient àgé qui avait souffert des brûlures dans la même région 65 ans auparavant. La néoformation a été excisée et la perte de substance réparée avec un lambeau de Limberg. Les auteurs recommandent que les cicatrices de brûlures non traitées soient contrôlées périodiquement pour constater s'il y a des signes locaux comme l'ulcération, le saignement ou la présence de pus. BIBLIOGRAPHY
MBC - PREVENTION CAMPAIGN The MBC, in the context of the activities laid down in its statute and intended to promote burn prevention campaigns, has produced the following videotapes: - The Prevention of Burns in Children - The Prevention of Electrical Bums in Everyday Life - The Prevention of Electrical Bums at Work - The Prevention of Industrial Disasters - How to Defend ourselves from Fire - How to Defend ourselves from Forest Fire The tapes have been dubbed in English, French, Arabic, Italian, Spanish, Greek and Turkish and come in two versions, U-MATIC and VHS. All the tapes are available entirely free of charge to MBC Members who apply in writing to receive them explaining their reasons and undertaking to use them exclusively to promote a burn prevention campaign in their respective countries. Applications must be fowarded to the MBC Secretariat. |
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