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KMID : 0358819980250061115
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1998 Volume.25 No. 6 p.1115 ~ p.1120
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A CLINICAL ANALYSIS OF THE MARJOLIN
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Choe Dong-Ik
Kim Do-Hyun
Lee Jong-Wook
Jang Young-Chul
Kim Dong-Chul
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Abstract
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Marjolin’s ulcer is a malignant degeneration of cicatrical tissue, especially in chronic burn scar. Since the first description by Jepan Nicholas Marjolin(1828), many studies for Marjolin’s ulcer have been performed and reported From 1985 to 1997, we experienced 20 cases in 14 patients diagnosed as Marjolin’s ulcer clinically, and we analysed mailgnant transformation rate, induction period of marjolin’s ulcer and prevention of marjolin’s ulcer, etc. The results are summarised as follows.
1) The sex distribution was predominant in male(64.3%).
2) The most common cause of injury was flame bum(78.6%).
3) The mean age at the time of diagnosis was 45.6 years and the average lag period was 20.6 years.
4) the pathologic types of Marjolin’s ulcer were squamous cell carcinoma(57.2%), followed by dyspasia(28.6%), acnthosis and hyperkeratosis(14.2%).
5) The locations of ulcers were frequently on the lower extremity(42.9%), followed by upper extremity(35.7%) and tank (21.4%).
6) The lymph node involvements were 3 patients out of the 8 patients who were confirmed as squamous cell carcinoma.
7) The modalities of treatment were skin graft (18 cases, 12 patients), myocutaneous flap(1 case, 1 patient), fasciocutaneous flap(1 case, 1 patient).
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KEYWORD
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Marjolin’s ulcer,
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