Carcinoma buccal mucosa and fibular reconstruction










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Marjolins ulcer leg post burn

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Marjolins ulcer is a variant of skin cancer , it is a ulcerating squamous  cell carcinoma . Described by Jean Nicolas Marjolin in 1828. Which develops in scars it can be burn scar ,osteomyelitis ,venous ulcers, post radiotherapy , pressure sores  or post traumatic scars. Unstable wound which are prone to breakdown are frequent site of this cancer . It can be very aggressive tumour  . Initial lymphatic spread is slow because of scarring ,but once barrier is breached spread can be aggressive .  Any wound which is not healing for 3 months should be biopsied .  original ulcer 30 year old male history of burns sustained burns 20 years ago which was treated conservatively with right get skin grafted . Patient developed ulceration over medial aspect of ankle which refused to heal . Patient was subjected to biopsy which came out to be squamous cell carcinoma . Surgical Oncology advice was taken and patient was taken for surgery. Lymph node dissection of g...
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Fungating neck ,neck dissection and Deltopectoral flap

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Fungating neck node Neck secondaries Neck Dissection completed Neck dissection completed DP flap completed flap being insetted 66 year old male life long smoker. Patient was diagnosed with carcinoma base of  tongue , and was advised chemotherapy and radiotherapy. Patient  somehow unable to undergo treatment ,developed neck nodes which burst open . Patient was operated for neck dissection where all fungating and other nodes were removed and deltopectoral flap was done to cover the wound. Patient was advised again chemotherapy and radiotherapy . Dr Adhishwar Sharma      8860650846.   adhishwar7@gmail.com
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