1985
DOI: 10.1002/jso.2930280207
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Mitomycin C extravasation ulcers

Abstract: In a four-year period, eight patients with mitomycin C extravasation ulcers were encountered. Mitomycin C extravasation produces a painful indolent ulcer that does not have any tendency to heal. If extravasation of the drug is recognized, infusion should be stopped immediately, and the site of infusion should be changed. The ulcers should be excised, and primary closure is recommended; if it is not possible then the defect is covered by a partial thickness skin graft.

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Cited by 14 publications
(2 citation statements)
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“…This theory, in addition to impaired wound healing (due to DNA insult), may explain why extravasation injuries often persist for a prolonged period of time. 6 Another theory regarding the mechanism behind anthracycline-and mitomycin C-induced tissue injury is generation of semiquinone free radicals. These radicals are further oxidized to form superanion and hydroxyl radicals and peroxides that damage cell membranes, leading to soft tissue injury.…”
Section: Discussionmentioning
confidence: 99%
“…This theory, in addition to impaired wound healing (due to DNA insult), may explain why extravasation injuries often persist for a prolonged period of time. 6 Another theory regarding the mechanism behind anthracycline-and mitomycin C-induced tissue injury is generation of semiquinone free radicals. These radicals are further oxidized to form superanion and hydroxyl radicals and peroxides that damage cell membranes, leading to soft tissue injury.…”
Section: Discussionmentioning
confidence: 99%
“…MMC is locally highly toxic and extravasation of MMC during i.v. administration may result in severe ulcers with tissue necrosis [113]. Animal experiments have demonstrated teratogenic and oncogenic effects of MMC [104].…”
Section: Chemotherapeutic Agents Used In Picmentioning
confidence: 99%