Aggressive, Metastatic Squamous Cell Carcinoma After a 46-Year-Old History of Chronic Osteomyelitis and Local Infectious Complications: A Case Report

Aggressive, Metastatic Squamous Cell Carcinoma After a 46-Year-Old History of Chronic Osteomyelitis and Local Infectious Complications: A Case Report

Authors

  • Roberto Manfredi Department of Infectious Diseases, “Alma Mater Studiorum” University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Sergio Sabbatani Department of Infectious Diseases, “Alma Mater Studiorum” University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Filippo Trapani Department of Infectious Diseases, “Alma Mater Studiorum” University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Calogero Alfonso Department of Orthopedics, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Massimo Laus Department of Orthopedics, S. Orsola-Malpighi Hospital, Bologna, Italy

DOI:

https://doi.org/10.7175/cmi.v12i1.1352

Keywords:

Carcinoma, Squamous Cell, Osteomyelitis, Infection, Local, Surgery, Marjolin’s disease

Abstract

Marjolin’s ulcer is a squamous cell carcinoma (SCC) arising from any site of established chronic inflammation, especially with presence of scar tissue.

An emblematic case report of locally disseminated SCC arising from a chronic osteomyelitis of the left leg complicated by recurring soft tissue infections lasting since 46 years is presented and discussed according to the available international literature evidence. Concurrent diseases, supporting factors, clinical and histopathological presentation, differential diagnosis, and time and mode of management of this potentially functional- and life-threatening pathological condition are reviewed and discussed to offer a theme to daily clinical care.

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Published

2019-01-16

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