Abstract:
:Skin cancers originating in areas of chronic injury (Marjolin's ulcers) are thought to behave in a more aggressive fashion than those due to other causes. The initial surgical treatment, especially the management of the regional lymph nodes, remains controversial. This review of 37 patients with Marjolin's ulcer evaluated the effectiveness of local surgical treatment at our center. Three of 18 patients treated with amputation developed recurrences and died of metastatic disease. Five of 16 patients treated by wide excision developed recurrences, two dying with metastatic disease, the remaining three apparently cured by additional surgery. Only six (17.6%) of the patients treated by "local" modalities, i.e., wide excision or amputation, developed subsequent regional node metastases. Recurrences following local excision tend to be local and can usually be managed by re-excision or amputation. It can be inferred from this study that prophylactic node dissections are not required in most patients with Marjolin's ulcers.
journal_name
Cancerjournal_title
Cancerauthors
Barr LH,Menard JWdoi
10.1002/1097-0142(19830701)52:1<173::aid-cncr28205subject
Has Abstractpub_date
1983-07-01 00:00:00pages
173-5issue
1eissn
0008-543Xissn
1097-0142journal_volume
52pub_type
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