During the past ten years, from July, 1964, to June, 1974, we have treated 13 cases of epidermoid carcinoma in burn scars (Marjolin´s ulcer) at Severance hospital.
The results are summarized briefly as follows;
1) The sex distribution was slightly more in male (61.5%) than female (48.596).
2) The cause of burn was flame (8 cases) and scald (5 cases).
3) Mean age at the time of diagnosis was 41.6 years and mean age at the time of burn was 13.8 years and average interval from burn to pathologic diagnosis was 28.8 years.
4) Average greatest diameter of ulcer was 8.6cm.
5) Two cases showed bony destruction in ulcer in X-ray examination.
6) The location of ulcer was most frequetly on the lower extremity (10 cases), especially on the popliteal fossa (7 cases), followed by upper extremity (2 cases) and trunk (I case).
7) Patients were treated by wide excision and skin graft (11 cases), and wide excision, saucerization of tibia and cross-leg flap (I case), and A-K amputation (1 case).
8) There was none of metastasis of lymph nodes in all seven cases that performed regional lymph node dissection.
9) In three cases, regional lymph node metastasis after wide excision was occured.
|