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eISSN: 2084-9893
ISSN: 0033-2526
Dermatology Review/Przegląd Dermatologiczny
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Open access

without publication fees
4/2019
vol. 106
 
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abstract:
Case report

Three distinct cutaneous malignancies arising in a post-burn scar

Robert Burdach
1
,
Martyna Sławińska
2
,
Wojciech Biernat
3
,
Tomasz K. Nowicki
4
,
Jerzy Jankau
5
,
Szymon Kołacz
5
,
Barbara Chrzanowska
5
,
Michał Sobjanek
2
,
Anna Starzyńska
1

  1. Department of Oral Surgery, Medical University of Gdańsk, Poland
  2. Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, Poland
  3. Department of Pathomorphology, Medical University of Gdańsk, Poland
  4. 2nd Department of Radiology, Medical University of Gdańsk, Poland
  5. Department of Plastic Surgery, Medical University of Gdańsk, Poland
Dermatol Rev/Przegl Dermatol 2019, 106, 417-423
DOI: https://doi.org/10.5114/dr.2019.88260
Online publish date: 2019/10/02
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Introduction
Prior clinical observations suggest an increased risk of carcinogenesis within a post-burn scar. The most common type of a neoplasm observed in such cases is squamous cell carcinoma, followed by basal cell carcinoma, melanoma, and sarcomas. Cases of coexistence of different neoplasms developing within one burn scar have rarely been reported in international literature.

Objective
To present a patient affected by three independent skin neoplasms that developed within a post-burn scar.

Case report
A 77-year-old man, who sustained an extensive burn of the head and upper extremities in childhood, was admitted to the Department of Dermatology to undergo a diagnostic examination of two scalp skin tumours developing within the post-burn scar. Three months earlier right cheek melanoma was excised. The histopathological examination confirmed the diagnosis of squamous cell carcinoma and basosquamous carcinoma.

Conclusions
This case may confirm the carcinogenicity of burn scars, and indicates the necessity of long-term monitoring of patients with such lesions.

keywords:

melanoma, squamous cell carcinoma, burn scar, post-burn scar, basosquamous cell carcinoma
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