“…Numerous types of trauma have been identified in connection with subsequent basal cell carcinoma formation. These include thermal burn scars, 4–13 vaccination sites, 14–25 chicken pox scars, 26 tattoos, 27 sites of blunt or sharp injury, 9,10,28–30 skin exposed to polycyclic aromatic hydrocarbons, 31 scars of lupus vulgaris, 32 chronic stasis ulcers, 33 sites of frostbite, 34 a hair transplantation site, 35 lesions of epidermolysis bullosa, 36 a colostomy site, 37 and a gunshot wound 38 …”
1774 basal cell carcinoma lesions treated by Mohs surgery between 1979 and 1986 were evaluated for previous trauma histories. These traumas include burns, sharp trauma, chicken pox scars, blunt trauma, and vaccinations. 129 (7.3%) had a previous history of trauma. Analysis revealed that patients with trauma-related tumors were slightly younger and more likely to be male. Their lesions were larger pre- and post-op, and more often required five or more Mohs surgery stages, indicating these tumors may be especially deceptive clinically. The tumors were not particularly aggressive judging by histologic type. The literature is reviewed and implications for future work suggested.
“…Numerous types of trauma have been identified in connection with subsequent basal cell carcinoma formation. These include thermal burn scars, 4–13 vaccination sites, 14–25 chicken pox scars, 26 tattoos, 27 sites of blunt or sharp injury, 9,10,28–30 skin exposed to polycyclic aromatic hydrocarbons, 31 scars of lupus vulgaris, 32 chronic stasis ulcers, 33 sites of frostbite, 34 a hair transplantation site, 35 lesions of epidermolysis bullosa, 36 a colostomy site, 37 and a gunshot wound 38 …”
1774 basal cell carcinoma lesions treated by Mohs surgery between 1979 and 1986 were evaluated for previous trauma histories. These traumas include burns, sharp trauma, chicken pox scars, blunt trauma, and vaccinations. 129 (7.3%) had a previous history of trauma. Analysis revealed that patients with trauma-related tumors were slightly younger and more likely to be male. Their lesions were larger pre- and post-op, and more often required five or more Mohs surgery stages, indicating these tumors may be especially deceptive clinically. The tumors were not particularly aggressive judging by histologic type. The literature is reviewed and implications for future work suggested.
Basal cell carcinomas (BCC) are the more frequent malignant tumors seen in France as in other western countries. They represent 20% of eyelid tumors and 90% of eyelid malignancies. Due to their local growth, problems may arise when treating BCC, and curative exeresis must be the preferred choice each time it is possible. BCC of the eyelids have a high risk of recurrence. Recurrences are more aggressive, infiltrative and destructive and have a considerably poorer rate of cure than primary tumors. Eyelid reconstructions can entail use of complex methods which should only be carried out by a trained ophthalmologist who is also able to treat any associated age-related ocular pathologies. BCC is the most common cause leading to eyelid reconstructive surgery; a surgery which has a triple objective: tumor removal, functionality and an esthetic outcome.
“…The incidence of BCC in scar tissue has been reported as 0.5%, but its development in post-vaccination scars is even less common. The literature describes only a few cases of BCC in a BCG scar ( 5 , 7 – 12 ), all of which are described in Table I .…”
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