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Age / Sex : 52 / M
Chief complaint : wound oozing for 1 month
Past Hx.
- S/P hip disarticulation (45년 전, 기차사고)
What is your diagnosis?
Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)
Courtesy : 추혜정 (Hye Jung Choo), 인제대학교부산백병원(Inje University Busan Paik Hospital)
Diagnosis: Marjolin’ ulcer
Discussion
Findings
Marked thickening and enhancement of the soft tissue of the distal stump of the lower limb
Bony enhancement at the distal end of the amputated femur
Discussion
malignant degeneration within pre-existing scars or areas of chronic inflammation such as burns or venous ulcers
- takes approximately 35 years
- 0.1-2.5% of scar tissue
Squamous cell carcinomas (m/c, >70%)
- followed by basal cell carcinoma and melanoma
Imaging findings
MRI- Hypertrophied lobulating margin soft tissue with chronic ulcer
CT- cortical destruction/ periosteal reaction of adjacent bone
References
Journal of the Korean Society of Radiology 2011; 64(6): 593-598.
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