Malignant Transformation of a Digit’s Burn Scar: Case Report and Literature Review
Ramla Mghirbi *
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia and Department of Plastic and Trauma Surgery, Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia.
Raja Amri
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia and Department of Internal Medicine, Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia.
Walid Bouaicha
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia and Department of Plastic and Trauma Surgery, Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia.
Walid Saidane
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia and Department of Plastic and Trauma Surgery, Mohamed Taher Al Maamouri Hospital, Nabeul, Tunisia.
Monia Tangour
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia and Department of Pathological Anatomy and Cytology, Nabeul, Tunisia.
Mohamed Ali Sbai
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia and Department of Burn and Plastic Surgery, Mohamed Taher Al Maamouri, Nabeul, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Marjolin's ulcer is a situation describing the malignant transformation of chronic unstable scars, especially in chronic burn scars. From all burn scar malignancies, carcinomas are the most common reported cases with an invasive majority of squamous cell carcinomas (SCC).
As surgeons, we should recognize this long-term complication of severe burns, its occurrence, its clinicopathologic aspect, its prognosis and for sure its adequate management.
We describe an unusual presentation of post-burn sequalae of a middle finger revealing a squamous-cell carcinoma degeneration and present a review of the literature to clarify Marjolin's ulcers characteristics.
Keywords: Burn scar, Marjolin’s ulcer, hand, finger, squamous-cell carcinoma.