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Postburn scar carcinomas in Kashmiris

N A Chowdri1, M A Darzi

  • 1Department of Plastic and Reconstructive Surgery, SK Institute of Medical Sciences, Soura, Srinagar, India.

Burns : Journal of the International Society for Burn Injuries
|September 1, 1996
PubMed
Summary

Postburn scar carcinomas, particularly those linked to Kangri burns, are notably common in Kashmir. Early surgical intervention offers a promising 5-year survival rate for these well-differentiated squamous cell carcinomas.

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Area of Science:

  • Oncology
  • Dermatology
  • Epidemiology

Background:

  • Postburn scar carcinoma is a rare but serious complication of chronic scarring.
  • The incidence and etiological factors in specific geographic regions require detailed investigation.

Purpose of the Study:

  • To review the clinical characteristics and outcomes of patients with postburn scar carcinomas in Kashmir.
  • To determine the common etiological agents and assess treatment efficacy.

Main Methods:

  • Retrospective review of 72 Kashmiri patients diagnosed with postburn scar carcinomas over 12 years.
  • Analysis of etiological factors, clinical presentation, tumor differentiation, metastasis, treatment modalities, and survival rates.

Main Results:

  • A high incidence of postburn scar carcinoma was observed in Kashmir (10.4% of squamous cell cancers).
  • Kangri burns were the most frequent cause (44.4%). Mean age at presentation was 41.5 years, with a mean latent period of 35.4 years.
  • All tumors were well-differentiated squamous cell carcinomas without metastases; 64 patients had surgery, 6 had amputations, with a 5-year survival of 68.7%.

Conclusions:

  • Postburn scar carcinoma, often linked to Kangri burns, presents a significant health concern in Kashmir.
  • Surgical management, including excision, leads to favorable outcomes with a higher 5-year survival rate compared to other series.

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