Mélanome multiple polymétastatique sur cicatrice de brûlure

Oncologie (Impact Factor: 0.06). 11/2007; 9(11):797-799. DOI: 10.1007/s10269-007-0740-z

ABSTRACT La transformation maligne des cicatrices de brûlure est une complication commune. Le cancer le plus fréquent sur cicatrice
de brûlure est le carcinome épidermoïde (CE), la survenue de mélanome (MM) est extrêmement rare. Nous rapportons l’observation
d’un patient avec un MM multiple polymétastasique survenant sur une cicatrice de brûlure avec revue de la littérature. II
s’agissait d’un homme de 67 ans, aux antécédents de brûlure au niveau du thorax dès l’âge de six ans. II consultait pour des
lésions nodulaires pigmentées sur la cicatrice de brûlure évoluant depuis cinq ans. La biopsie confirme le diagnostic de MM.
Des métastases multiples étaient décelées.
Malignant changes in burn scars are common. The most frequent cancer arising from an old burn scar is squamous cell carcinoma,
while melanoma is extremely rare. We report a case of a patient with a multiple polymetatasic malignant melanoma arising from
a burn scar areas and a review of literature. A 67-year-old patient who had been burned, the upper portion of her anterior
trunk, at age 6 years. Nodular pigmented lesions were noted, on the burned areas 5 years before consultation. The biopsy was
reported as malignant melanoma. Multiple metastases were noted.

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