Ohnmar HTWE, Margaret LEOW, Amaramalar Selvi NAİCKER

Marjolin's ulcer complicating a pressure sore

Marjolins ülseri arasında bir kronik bası yarasında malignite nadirdir. Bası yaralarında gelişen karsinomlar oldukça agresiftir ve genellikle ölümcüldür, ve bu nedenle çok agresif şekilde tedavi edilmeleri gereklidir. Bu vakada 10 yıldır düzensiz iyileşme gösteren ve son altı ay içinde boyutu gittikçe artan sakral bası yarası gelişen 33 yaşında paraplejik erkek hastanın bası yarasında ortaya çıkan bir skuamoz hücreli karsinom olgusunu bildirdik. Biyopsi sonucu iyi diferansiye invazif skuamoz hücreli karsinomu gösterdi. Erken tanı ve tedavi için sıklıkla ihmal edilen bu hasta grubunda görülebilen uzun sureli bası ülserinde yüksek bir şüphe indeksi gereklidir.

Basınç yarası ile komplike marjolin s ülseri

Malignancy in a chronic pressure sore is rare among Marjolin s ulcers. Carcinomas arising in pressure sores are highly aggressive and usually fatal and therefore, they need to be treated more aggressively. We report a case of squamous carcinoma arising in a pressure sore of a 33-year-old paraplegic man who developed a sacral pressure sore with unstable healing for 10 years and a steady increase in size in the past 6 months was noted. The biopsy result showed a well differentiated invasive squamous cell carcinoma. A high index of suspicion is necessary for long standing pressure ulcer in this frequently neglected group of people to enable early diagnosis and treatment.

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