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...
Parotid gland tumors are common , especially benign tumors. These tumors occur in superficial lobe,so superficial parotidectomy is treatment of choice. Facial nerve divides parotid gland into superficial and deep lobes.Superficial parotidectomy means dissection of facial nerve from superficial lobe. Superficial lobe is lifted of facial nerve and it carries risk of facial palsy. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in Head and Neck Surgery brahmanandclinic.com 8860650846 adhishwar7@gmail.com
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