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Acute Marjolin's Ulcer in a Postauricular Scar after Mastoidectomy

Identifieur interne : 008B75 ( Ncbi/Merge ); précédent : 008B74; suivant : 008B76

Acute Marjolin's Ulcer in a Postauricular Scar after Mastoidectomy

Auteurs : Kholoud A. Alhysoni [Arabie saoudite] ; Sumaiyah M. Bukhari [Arabie saoudite] ; Mutawakel F. Hajjaj [Arabie saoudite]

Source :

RBID : PMC:5168475

Abstract

Background. Marjolin's ulcer is a rare, aggressive cutaneous malignancy that arises primarily in burn scars but can occur in other types of scars. Squamous cell carcinoma is the most common variant, and while malignant degeneration usually takes a long time, it can develop acutely. Case Report. a 30-year-old man who developed Marjolin's ulcer acutely in a right postauricular scar after mastoidectomy and the incision and drainage of a mastoid abscess. To the best of our knowledge, this report is the first to describe a Marjolin's ulcer in a postauricular surgical scar. However, it has been reported in others areas in the head and neck. Conclusion. Marjolin's ulcer is most commonly observed after postburn scars, but it may be observed after any type of scars, as our patient developed an SCC with a postsurgical scar. Early diagnosis is essential, and a biopsy should be performed on any nonhealing wound or chronic wound that undergoes a sudden change. Tissue samples should be taken from both the centre and the margins of the wound.


Url:
DOI: 10.1155/2016/2046954
PubMed: 28050297
PubMed Central: 5168475

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PMC:5168475

Le document en format XML

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<italic>Background</italic>
. Marjolin's ulcer is a rare, aggressive cutaneous malignancy that arises primarily in burn scars but can occur in other types of scars. Squamous cell carcinoma is the most common variant, and while malignant degeneration usually takes a long time, it can develop acutely.
<italic> Case Report</italic>
. a 30-year-old man who developed Marjolin's ulcer acutely in a right postauricular scar after mastoidectomy and the incision and drainage of a mastoid abscess. To the best of our knowledge, this report is the first to describe a Marjolin's ulcer in a postauricular surgical scar. However, it has been reported in others areas in the head and neck.
<italic> Conclusion</italic>
. Marjolin's ulcer is most commonly observed after postburn scars, but it may be observed after any type of scars, as our patient developed an SCC with a postsurgical scar. Early diagnosis is essential, and a biopsy should be performed on any nonhealing wound or chronic wound that undergoes a sudden change. Tissue samples should be taken from both the centre and the margins of the wound.</p>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Case Rep Otolaryngol</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Otolaryngol</journal-id>
<journal-id journal-id-type="publisher-id">CRIOT</journal-id>
<journal-title-group>
<journal-title>Case Reports in Otolaryngology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6765</issn>
<issn pub-type="epub">2090-6773</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="pmid">28050297</article-id>
<article-id pub-id-type="pmc">5168475</article-id>
<article-id pub-id-type="doi">10.1155/2016/2046954</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Acute Marjolin's Ulcer in a Postauricular Scar after Mastoidectomy</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-6297-6015</contrib-id>
<name>
<surname>Alhysoni</surname>
<given-names>Kholoud A.</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bukhari</surname>
<given-names>Sumaiyah M.</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hajjaj</surname>
<given-names>Mutawakel F.</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
</contrib-group>
<aff id="I1">Otolaryngology Department, Ohud Hospital, Medina, Saudi Arabia</aff>
<author-notes>
<corresp id="cor1">*Kholoud A. Alhysoni:
<email>kholoudalhysoni@hotmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Abrão Rapoport</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>6</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>2046954</elocation-id>
<history>
<date date-type="received">
<day>6</day>
<month>9</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>11</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2016 Kholoud A. Alhysoni et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<italic>Background</italic>
. Marjolin's ulcer is a rare, aggressive cutaneous malignancy that arises primarily in burn scars but can occur in other types of scars. Squamous cell carcinoma is the most common variant, and while malignant degeneration usually takes a long time, it can develop acutely.
<italic> Case Report</italic>
. a 30-year-old man who developed Marjolin's ulcer acutely in a right postauricular scar after mastoidectomy and the incision and drainage of a mastoid abscess. To the best of our knowledge, this report is the first to describe a Marjolin's ulcer in a postauricular surgical scar. However, it has been reported in others areas in the head and neck.
<italic> Conclusion</italic>
. Marjolin's ulcer is most commonly observed after postburn scars, but it may be observed after any type of scars, as our patient developed an SCC with a postsurgical scar. Early diagnosis is essential, and a biopsy should be performed on any nonhealing wound or chronic wound that undergoes a sudden change. Tissue samples should be taken from both the centre and the margins of the wound.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Axial CT scan (noncontrast) showing the temporal bone. (a) Bone window and right ill-defined soft tissue density in the right mastoid air cells, middle, and inner ear, associated with bony destruction. Only the basal turn of the cochlea and part of the vestibule are visualized. (b) Soft tissue window and posterior aspect of the tegmentum tympani appear destroyed, thinned, and interrupted, with subcutaneous soft tissue swelling adjacent to the EAC and collection at the superior aspect.</p>
</caption>
<graphic xlink:href="CRIOT2016-2046954.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>MRI of the brain, IAC, and mastoid with IV contrast. Axial and coronal views show (a) MRI T1 axial view before contrast, (b, c) MRI T1 axial view after contrast, and (d) MRI T1 coronal view after contrast. Right, large, loculated, peripheral enhancing collection is observed in the subcutaneous tissue of the auricular region, posterior and anterosuperior to the external auditory canal and extending to the mastoid air cells and middle ear cavity. The cochlea and semicircular canals are not visualized; only part of the vestibule is observed, and a focal area of dural enhancement is observed in the right temporal lobe.</p>
</caption>
<graphic xlink:href="CRIOT2016-2046954.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Cholesteatoma.</p>
</caption>
<graphic xlink:href="CRIOT2016-2046954.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>A 4 cm by 5 cm right postauricular ulcer with raised edges and a necrotic centre.</p>
</caption>
<graphic xlink:href="CRIOT2016-2046954.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>CT scan of the temporal bone shows that, compared to previous images, the soft tissue component was increased, causing further destruction of the middle and inner ear and a right periauricular soft tissue mass lesion with an ill-defined border.</p>
</caption>
<graphic xlink:href="CRIOT2016-2046954.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Section shows proliferative squamous cells invading the underlying stroma. The cells are hyperchromatic with a high N/C ratio and atypical mitosis.</p>
</caption>
<graphic xlink:href="CRIOT2016-2046954.006"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Arabie saoudite</li>
</country>
</list>
<tree>
<country name="Arabie saoudite">
<noRegion>
<name sortKey="Alhysoni, Kholoud A" sort="Alhysoni, Kholoud A" uniqKey="Alhysoni K" first="Kholoud A." last="Alhysoni">Kholoud A. Alhysoni</name>
</noRegion>
<name sortKey="Bukhari, Sumaiyah M" sort="Bukhari, Sumaiyah M" uniqKey="Bukhari S" first="Sumaiyah M." last="Bukhari">Sumaiyah M. Bukhari</name>
<name sortKey="Hajjaj, Mutawakel F" sort="Hajjaj, Mutawakel F" uniqKey="Hajjaj M" first="Mutawakel F." last="Hajjaj">Mutawakel F. Hajjaj</name>
</country>
</tree>
</affiliations>
</record>

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