Marjolin's Ulcer: Seven (07) Cases Studied in Brazzaville
International Journal of Clinical Oncology and Cancer Research
Volume 4, Issue 6, December 2019, Pages: 49-53
Received: Sep. 19, 2019; Accepted: Nov. 4, 2019; Published: Nov. 26, 2019
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Judith Nsondé Malanda, Oncology Service Teaching Hospital in Brazzaville, Brazzaville, Congo
Sophie Bayonne Kombo, Dermatology Service Talangaï Hospital, Brazzaville, Congo
Grâce Dulcinée Mabiala Maye, Carcinology Service Teaching Hospital, Brazzaville, Congo
Augustin Bambara Tozoula, Carcinology Service Teaching Hospital, Ouagadougou, Burkina Faso
Aubièrge Victoire Kimpamboudi Matondo, Surgery Service Makélékélé Hospital, Brazzaville, Congo
Eliane Ndounga, Oncology Service Teaching Hospital, Brazzaville, Congo
Jean Bernard Nkoua Mbon, Oncology Service Teaching Hospital, Brazzaville, Congo
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Introduction Marjolin's Ulcer (MU) means all cutaneous malignancies developed on old unsteady scars. The general objective of this study was to report the MU cases in Congo with a literature review. It was a retrospective study conducted at University Teaching Hospital in Brazzaville from January 1998 to December 2017 (a 20-year period). The in-patients for cutaneous cancer histologically confirmed, arose on scarring skin lesions progressive were included. The epidemiological, clinical, histopathological and therapeutical variables were collected. Seven patients were identified. They represented 1.9% of skin cancers. The middle age was 44.4 years. The female predomination was noted with a sex ratio of 2.5. The burn scars was the etiological factor found to all our patients (100%). None of patients had an appropriate care of initial wound. The average time limit of the onset of MU was 34 years. The anatomopathologic examination revealed a squamous cell carcinoma to all our patients (100%). Carcinologic exeresis carried out to one (01) patient (14.28%). The amputation: three (03) patients (42.85%) and the disarticulation: two (02) patients (28.57%). The chemotherapy six (06) patients (85.71%). The decease arose five (05) patients (71.42%) and the entire remission reached to a woman patient (14.28%). This study confirmed the rareness and the severity MU; it also reveals the diagnosis lateness of a great death-rate. The care of quality of burns and chronic injuries, the awareness of patients together with the care givers training could help to improve the prognosis of this affection.
Marjolin's Ulcer, Cancer, Scar, Burn
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Judith Nsondé Malanda, Sophie Bayonne Kombo, Grâce Dulcinée Mabiala Maye, Augustin Bambara Tozoula, Aubièrge Victoire Kimpamboudi Matondo, Eliane Ndounga, Jean Bernard Nkoua Mbon, Marjolin's Ulcer: Seven (07) Cases Studied in Brazzaville, International Journal of Clinical Oncology and Cancer Research. Vol. 4, No. 6, 2019, pp. 49-53. doi: 10.11648/j.ijcocr.20190406.12
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