Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Malignant melanoma on a thermal burn scar

  • Lee, Han Byul (Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Han, So Eun (Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Chang, Lan Sook (Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Soo Hyang (Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine)
  • Received : 2018.08.24
  • Accepted : 2018.10.02
  • Published : 2019.02.20
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Abstract

Chronic burn scars often cause various skin malignancies at rates of up to 2%. These lesions are usually squamous cell carcinomas, but rarely, malignant melanoma is reported. We report a 67-year-old male with a malignant melanoma on a burn scar with regional metastasis. This patient presented an ulcerative lesion only in 2 weeks. After histopathological diagnosis, we performed only palliative surgery on patient's demand, and followed up the subsequent deterioration course. Our case reemphasizes the need for rapid diagnosis and treatment when suspect lesions are present on chronic burn scar. Also, physician should be in mind and inform the patient about malignant melanoma and its aggressive course.

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References

  1. Treves N, Pack GT. The development of cancer in burn scars: an analysis and report of thirty-four cases. Surg Gynecol Obstet 1930;51:749-82.
  2. Edwards MJ, Hirsch RM, Broadwater JR, Netscher DT, Ames FC. Squamous cell carcinoma arising in previously burned or irradiated skin. Arch Surg 1989;124:115-7. https://doi.org/10.1001/archsurg.1989.01410010125024
  3. Orlet HK, Still J, Law E, Gertler C. Malignant melanoma in a burn scar. Ann Plast Surg 2001;46:59-61. https://doi.org/10.1097/00000637-200101000-00013
  4. Stromberg BV, Keiter JE, Wray RC, Weeks PM. Scar carcinoma: prognosis and treatment. South Med J 1977;70:821-2. https://doi.org/10.1097/00007611-197707000-00017
  5. 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
  6. Kowal-Vern A, Criswell BK. Burn scar neoplasms: a literature review and statistical analysis. Burns 2005;31:403-13. https://doi.org/10.1016/j.burns.2005.02.015
  7. Stromberg BV, Klingman R, Schluter WW. Basal cell burn carcinoma. Ann Plast Surg 1990;24:186-8. https://doi.org/10.1097/00000637-199002000-00015
  8. Gargan TJ, Mitchell L, Plaus W. Burn scar sarcoma. Ann Plast Surg 1988;20:477-80. https://doi.org/10.1097/00000637-198805000-00014
  9. Giblin T, Pickrell K, Pitts W, Armstrong D. Malignant degeneration in burn scars: Marjolin's ulcer. Ann Surg 1965;162:291-7. https://doi.org/10.1097/00000658-196508000-00021

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  1. Spindle cell melanoma arising in a burn scar: An unusual presentation with dermatoscopic findings vol.32, pp.6, 2019, https://doi.org/10.1111/dth.13123