Archives of Plastic Surgery

  • 제40권3호
  • /
  • Pages.198-202
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  • 2013
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Impact of Disturbed Wound Healing after Surgery on the Prognosis of Marjolin's Ulcer

  • Choi, Jae Yeon (Department of Plastic and Reconstructive Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Nam, Su Bong (Department of Plastic and Reconstructive Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Bae, Seong Hwan (Department of Plastic and Reconstructive Surgery, Pusan National University Hospital, Pusan National University School of Medicine)
  • 투고 : 2012.11.02
  • 심사 : 2013.01.31
  • 발행 : 2013.05.15
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초록

Background Marjolin's ulcer is known to present a high proportion of recurrence and poor prognosis compared to other kinds of skin cancer. Based on our experience, Marjolin's ulcer patients who have received reconstructive surgery present a higher proportion of recurrence when there was disturbed wound healing after surgery. The impact of disturbed wound healing after surgery on the prognosis was examined in this study. Methods A retrospective study was carried out on 26 patients who were diagnosed with Marjolin's ulcer and received surgery in this hospital from 1996 to 2011. Histologic grading, lymph node metastasis at diagnosis, and the wound healing process were evaluated and chi-squared analysis applied in order to determine the correlation with recurrence. Results The proportion of recurrence increases in patients with a low histologic grade or lymph node metastasis at diagnosis. The proportion of recurrence is even higher when the problem occurs during the wound healing process after surgery. Conclusions Disturbed wound healing after surgery could be used as a sign to quickly identify the recurrence of carcinoma. Therefore, in the event a problem occurs in the wound healing process after surgery, one should keep in mind that this could be a sign of the possibility of recurrence and proceed with careful observation and active diagnosis through additional physical examinations, general X-ray tests, computed tomographys, magnetic resonance imagings, and so on, to obtain an early diagnosis of recurrence.

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참고문헌

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  2. A Retrospective Study of Marjolin's Ulcer Over an Eleven Year Period vol.7, pp.3, 2013, https://doi.org/10.4103/0974-2077.146667
  3. Paraplegia in a patient with Von Hippel Lindau syndrome: surgical and reconstructive treatment of Marjolin’s ulcer. A case report vol.52, pp.suppl3, 2013, https://doi.org/10.1038/sc.2014.111
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  7. Clinical features and treatment of 140 cases of Marjolin's ulcer at a major burn center in southwest China vol.17, pp.5, 2013, https://doi.org/10.3892/etm.2019.7364
  8. Clinical Features and Expression Patterns for Burn Patients Developed Marjolin Ulcer vol.41, pp.3, 2013, https://doi.org/10.1093/jbcr/irz194
  9. When Benign Becomes Cancer: Malignant Degeneration of Chronic Inflammation vol.35, pp.3, 2013, https://doi.org/10.1055/s-0041-1731462