1987
DOI: 10.1136/pgmj.63.746.1097
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Development of a sarcoma in a surgical scar

Abstract: The development of a malignant soft tissue tumour (malignant fibrous histiocytoma) in a surgical wound is reported. Although rare, this occurrence has important diagnostic implications and the management is discussed. Wide excision of these tumours is necessary as the lesion is covered with a dense pseudocapsule outside © The Fellowship of Postgraduate Medicine, 1987

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Cited by 26 publications
(4 citation statements)
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“…Among the reconstruction techniques using autologous bone, the flap positioned subcutaneously in the abdominal cavity [2,20,23,38] requires a second surgical wound. This aspect, seemingly marginal, should not be underestimated because the onset of benign [9,18,32] or malignant [13,16,21,30,31,34,35,39] primary tumours from the surgical abdominal or thoracic scar is well-documented, both many years after surgery for benign lesions and after a few months for malignant ones. On the other hand, if the bone flap is kept in the subgaleal space [12,19,25] there may be undesired subcutaneous blood collections, but mainly a smaller skin surface available for brain swelling, since it is already employed in containing the craniotomy flap.…”
Section: Discussionmentioning
confidence: 99%
“…Among the reconstruction techniques using autologous bone, the flap positioned subcutaneously in the abdominal cavity [2,20,23,38] requires a second surgical wound. This aspect, seemingly marginal, should not be underestimated because the onset of benign [9,18,32] or malignant [13,16,21,30,31,34,35,39] primary tumours from the surgical abdominal or thoracic scar is well-documented, both many years after surgery for benign lesions and after a few months for malignant ones. On the other hand, if the bone flap is kept in the subgaleal space [12,19,25] there may be undesired subcutaneous blood collections, but mainly a smaller skin surface available for brain swelling, since it is already employed in containing the craniotomy flap.…”
Section: Discussionmentioning
confidence: 99%
“…It is well known that scars are a predisposing factor in the development of cutaneous malignancy and there have been several previous reports of DFSP occurring in scars of varying aetiology [25][26][27][28][29]. The development of malignancy in vaccination scars is well recognised and, specifically, several previous case reports have documented the occurrence of DFSP in this setting [2,[4][5][6][7].…”
Section: Aetiologymentioning
confidence: 95%
“…These include the development of DFSP at sites of trauma ranging from 'vaccination to bayonet wound' [2], such as surgical scars [25][26][27], burn scars [28,29], sites of prior immunisation [4][5][6][7] and therapeutic irradiation [12,30]. In addition, increased frequency of trauma to the hands and feet is thought to account for the higher incidence of acrally occurring DFSP in children and adolescents compared to adults [12].…”
Section: Aetiologymentioning
confidence: 99%
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