Document Detail


Squamous cell carcinoma arising from an arteriovenous malformation of the scalp.
MedLine Citation:
PMID:  16877939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a 70-year-old man with a congenital scalp lesion consistent with an arteriovenous malformation (AVM) which over the last 3 years had developed ulcerative changes and bleeding in the central aspect that was a biopsy proven squamous cell carcinoma (SCCA). To control hemorrhage during surgery, a radiologist performed selective embolization of major feeding arteries in the lesion three days before the surgery. After total resection of the lesion, a scalp reconstruction was performed by using a free latissimus muscle flap and skin graft. As a result, bleeding was well controlled, the AVM and SCCA were totally resected, and satisfactory aesthetic results were obtained. This appears to be the first description of a SCCA arising from a chronic AVM. This is suggestive of a possible Marjolin's ulcer from a chronic wound bed.
Authors:
Brian P Thornton; David Sloan; Brian Rinker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  17     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-31     Completed Date:  2007-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  805-9     Citation Subset:  D    
Affiliation:
Division of Plastic Surgery, University of Kentucky, Lexington Kentucky, USA. BrianThorntonMD@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Arteriovenous Malformations / pathology*
Carcinoma, Squamous Cell / pathology*
Cell Transformation, Neoplastic / pathology
Embolization, Therapeutic
Follow-Up Studies
Head and Neck Neoplasms / pathology*
Humans
Male
Muscle, Skeletal / transplantation
Reconstructive Surgical Procedures
Scalp / blood supply*,  pathology
Skin Neoplasms / pathology*
Skin Transplantation
Skin Ulcer / pathology
Surgical Flaps

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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