대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제22권2호
  • /
  • Pages.78-81
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  • 2018
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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조기에 악성종양으로 발전된 당뇨발 궤양: 증례 보고

Early Transformed Diabetic Foot Ulcer into a Malignancy: A Case Report

  • 박승범 (순천향대학교 의과대학 부천병원 정형외과학교실) ;
  • 이영구 (순천향대학교 의과대학 부천병원 정형외과학교실) ;
  • 이두형 (아주대학교 의과대학 아주대학교병원 정형외과학교실) ;
  • 김수민 (아주대학교 의과대학 아주대학교병원 성형외과학교실) ;
  • 배희원 (아주대학교 의과대학 아주대학교병원 정형외과학교실) ;
  • 박영욱 (아주대학교 의과대학 아주대학교병원 정형외과학교실)
  • Park, Sung Bum (Department of Orthopedic Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Young Koo (Department of Orthopedic Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Doo Hyung (Department of Orthopedic Surgery, Ajou University Hospital, Ajou University School of Medicine) ;
  • Kim, Sue Min (Department of Plastic Surgery, Ajou University Hospital, Ajou University School of Medicine) ;
  • Bae, Hie Won (Department of Orthopedic Surgery, Ajou University Hospital, Ajou University School of Medicine) ;
  • Park, Young Uk (Department of Orthopedic Surgery, Ajou University Hospital, Ajou University School of Medicine)
  • 투고 : 2018.04.27
  • 심사 : 2018.05.29
  • 발행 : 2018.06.15
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초록

This paper presents a case of an early malignant transformation of untreated ulcers in a patient with diabetes. This case shows that Marjolin's ulcer can occur not only after chronic injury, but can also develop in the early stages after the onset. Hence, an early biopsy for diabetic foot ulcers that fail to heal with acute treatment can enable an earlier diagnosis and treatment without amputation, resulting in a better quality of life for the patient.

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참고문헌

  1. Ozek C, Cankayali R, Bilkay U, Guner U, Gundogan H, Songur E, et al. Marjolin's ulcers arising in burn scars. J Burn Care Rehabil. 2001;22:384-9. https://doi.org/10.1097/00004630-200111000-00006
  2. Elkins-Williams ST, Marston WA, Hultman CS. Management of the chronic burn wound. Clin Plast Surg. 2017;44:679-87. https://doi.org/10.1016/j.cps.2017.02.024
  3. Spring PM, Myers JN, El-Naggar AK, Langstein HN. Malignant melanoma arising within a burn scar case report and review of the literature. Ann Otol Rhinol Laryngol. 2001;110:369-76. https://doi.org/10.1177/000348940111000414
  4. Fleming MD, Hunt JL, Purdue GF, Sandstad J. Marjolin's ulcer: a review and reevaluation of a difficult problem. J Burn Care Rehabil. 1990;11:460-9. https://doi.org/10.1097/00004630-199009000-00016
  5. Oruc M, Kankaya Y, Sungur N, Ozer K, Isik VM, Ulusoy MG, et al. Clinicopathological evaluation of Marjolin ulcers over two decades. Kaohsiung J Med Sci. 2017;33:327-33. https://doi.org/10.1016/j.kjms.2017.04.008
  6. Scatena A, Zampa V, Fanelli G, Iacopi E, Piaggesi A. A metastatic squamous cell carcinoma in a diabetic foot: case report. Int J Low Extrem Wounds. 2016;15:155-7. https://doi.org/10.1177/1534734616640358
  7. Copcu E. Marjolin's ulcer: a preventable complication of burns? Plast Reconstr Surg. 2009;124:156e-64e. https://doi.org/10.1097/PRS.0b013e3181a8082e
  8. Pekarek B, Buck S, Osher L. A comprehensive review on Marjolin's ulcers: diagnosis and treatment. J Am Col Certif Wound Spec. 2011;3:60-4.
  9. Saaiq M, Ashraf B. Marjolin's ulcers in the post-burned lesions and scars. World J Clin Cases. 2014;2:507-14. https://doi.org/10.12998/wjcc.v2.i10.507
  10. Horton CE, Crawford HH, Love HG, Loeffler RA. The malignant potential of burn scar. Plast Reconstr Surg Transplant Bull. 1958;22:348-53. https://doi.org/10.1097/00006534-195810000-00008