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Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes
Published on: February 23, 2024
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Multiple melanoma in a burns scar
Phillip Cantwell1, Adrian Brooks2
1Plastic Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
BMJ Case Reports
|December 24, 2018
Summary
Melanoma developing in burn scars is rare. This case report details a 78-year-old male who developed four melanomas on a finger 40 years after a burn injury, emphasizing vigilance in skin exams.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Chronic burn scars have a known malignant transformation rate of up to 2%.
- Melanoma development within burn scars is exceptionally uncommon.
Observation:
- A 78-year-old male presented with multiple melanomas on his little finger.
- The lesions appeared 40 years post-initial burn injury.
Findings:
- Histopathology confirmed three melanoma in situ and one invasive melanoma.
- The invasive melanoma had a Breslow thickness of 1 mm.
Implications:
- This case underscores the importance of thorough skin examinations for patients with burn scars.
- Prompt biopsy of new pigmented lesions in these areas is crucial for early diagnosis and management.
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