Evidence map›Paper›PMID 30118961›Full record

ArticleInternational journal of surgery case reports2018

Would Marjolin see it coming? Two unusual cases of squamous cell carcinoma.

Yeela Ben Naftali, Ori Samuel Duek, Ram Kalus, Marc Berns, Yaniv Zohar, Yehuda Ullmann

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yeela Ben NaftaliDepartment of Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel. Electronic address: yeelab@gmail.com.
Ori Samuel DuekDepartment of Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel.
Ram KalusDepartment of Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel.
Marc BernsDepartment of Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel.
Yaniv ZoharDepartment of Pathology, Rambam Health Care Campus, Haifa, Israel.
Yehuda UllmannDepartment of Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel.
Rambam Health Care Campus · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCutaneous squamous cell carcinoma (SCC) is a common skin cancer, second in incidence only to basal cell carcinoma (BCC). The incidence of SCC increases significantly with age; thus, it is rarely diagnosed in young patients. In this paper, we present two cases of young patients who presented clinically with purulent lesions that were later diagnosed as large primary SCCs. MATERIALS AND

methodsA review of the medical records of two patients who were admitted to the department of plastic surgery with a final clinical diagnosis of cutaneous SCC was conducted. Information of the review included history, physical examination, laboratory tests, imaging studies and histology. A literature review was also conducted and discussed.

resultsTwo female patients under the age of 45 presented with large, purulent lesions that were initially clinically suggestive of an infectious etiology. The lesions were surgically treated by incision and drainage without sending tissue samples to pathology. Biopsies of the lesions were performed to obtain a tissue diagnosis due to recurrence approximately one year after the initial treatment. Histological evaluation revealed well differentiated squamous cell carcinomas. Surgical intervention with wide excision with adjuvant chemotherapy was recommended based on biopsy and CT scan results. DISCUSSION: Aggressive behavior of SCC in young patients is uncommon. The patients in this report were diagnosed only one year after the first sign of the lesion. One patient was first diagnosed with an abscess, and the other with necrotizing fasciitis. The delayed diagnosis of SCC in these two patients is a potential contributing factor to the aggressiveness of the tumors. Therefore, it is imperative to perform skin biopsies of chronic or persistent purulent lesions to rule out malignancies including Marjolin's ulcer.

conclusionAggressive SCC should be suspected in cases of persistent and relapsing purulent lesions in all patients.

Indexed as

AbscessMarjolin’s ulcerSquamous cell carcinomaYoung patients

Identifiers

PMID30118961
PMCPMC6098194
OpenAlexW2886612973

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.