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Saree Cancer: a Rare Case.

Pranjal Rai1, Geeta Ghag1, Saurabh Sanjanwala1

  • 1Department of General Surgery, HBT Medical College and Dr. R.N. Cooper Hospital, Mumbai, India.

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Summary

Drawstring dermatitis, often from tight traditional Indian clothing like sarees, can cause skin issues and rarely lead to squamous cell carcinoma (SCC). Loose clothing and weight management can prevent this friction-induced skin cancer.

Keywords:
Saree cancerSkin cancerSquamous cell carcinoma

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Area of Science:

  • Dermatology
  • Oncology

Background:

  • Skin cancers are rare in India, accounting for less than 1% of all malignancies.
  • Drawstring dermatitis is a frictional condition caused by tight garments such as sarees and salwaar-kameez.
  • Chronic friction from these garments can lead to skin changes like lichenification, depigmentation, and exacerbate existing dermatoses.

Observation:

  • The humid tropical climate combined with friction increases susceptibility to infections (candida, dermatophytes, bacteria).
  • Rarely, chronic friction from tight waistbands can result in squamous cell carcinoma (SCC), termed 'saree cancer'.
  • This study presents a rare case of saree cancer in a 68-year-old woman with an ulceroproliferative growth.

Findings:

  • Biopsy confirmed well-differentiated squamous cell carcinoma (SCC).
  • The patient underwent wide excision with primary closure for the ulceroproliferative growth.
  • Repeated trauma and impaired healing are hypothesized mechanisms for malignant transformation.

Implications:

  • Prevention strategies include weight reduction and wearing drawstrings loosely, particularly for individuals prone to koebnerizing conditions.
  • Awareness of friction-induced skin changes and potential malignant transformation is crucial.
  • This highlights a rare but significant occupational hazard associated with traditional Indian attire.