대한근골격영상의학회

Title : Case 889

Age / Sex : 65 / M Chief complaint : Lt. lower extremity pain Past Hx: 7세때 osteomyelitis로 수술받은 기왕력 + 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 : 이슬기 (Seul Ki Lee), 성빈센트병원 (St. Vincent’s Hospital) Diagnosis: Majolin’s ulcer (squamous cell ca. arising in sites of long-standing chronic wounds or scars) Discussion Findings Deformed contour, irregular low SI portion in lateral eccentrical bone marrow in distal metadiaphysis of femur Focal cortical defect, adhesion of surrounding muscle fascia with thickening Fcal skin fistula and segmentally irregular thickening with enhancement, probable segmental periostitis. --> correlation with plain radiograph, chronic osteomyelitis with Marjolin's ulcer References Imaging of a Marjolin's Ulcer: A Case Report; J Korean Soc Radiol. 2011 Jun;64(6):593-598.

Title : Case 889

Age / Sex : 65 / M

Chief complaint : Lt. lower extremity pain

Past Hx: 7세때 osteomyelitis로 수술받은 기왕력 +

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 : 이슬기 (Seul Ki Lee), 성빈센트병원 (St. Vincent’s Hospital)

Diagnosis:

Majolin’s ulcer (squamous cell ca. arising in sites of long-standing chronic wounds or scars)

Discussion

Findings
Deformed contour, irregular low SI portion in lateral eccentrical bone marrow in distal metadiaphysis of femur
Focal cortical defect, adhesion of surrounding muscle fascia with thickening
Fcal skin fistula and segmentally irregular thickening with enhancement, probable segmental periostitis.
--> correlation with plain radiograph, chronic osteomyelitis with Marjolin's ulcer

References
Imaging of a Marjolin's Ulcer: A Case Report; J Korean Soc Radiol. 2011 Jun;64(6):593-598.

Correct Answer
Total applicants	25	Correct answers	23
Name		Institution
박혜주		전문의
이규정		고려대학교 안암병원, 전문의
전차웅		가톨릭대학교 여의도성모병원, 전공의
김신영		전문의
도윤아		전문의
윤유성		경북대학교병원, 전문의
김정아		전문의
이진영		전문의
고일권		전문의
곽경수		전문의
오지수		전문의
홍혁기		경북권역재활병원, 전문의
전인환		전문의
김지환		전문의
윤정택		전공의
이진영		전문의
임현재		전문의
여준범		분당서울대학교병원, 전문의
권기언		전문의
이승훈		한양대학교병원, 전문의
안지영		전공의
이혜원		전문의
송윤아		전문의