Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Imaging of a Marjolin's Ulcer: A Case Report

Marjolin's Ulcer의 영상 소견: 증례 보고

  • Cha, Jang-Gyu (Department of Radiology, Soonchunhyang University Hospital) ;
  • Yoo, Jae-Ho (Department of Orthopedics, Seoul SKY Hospital) ;
  • Kim, Hee-Kyung (Department of Pathology, Soonchunhyang University Hospital) ;
  • Paik, Sang-Hyun (Department of Radiology, Soonchunhyang University Hospital) ;
  • Hong, Hyun-Sook (Department of Radiology, Soonchunhyang University Hospital) ;
  • Lee, Hae-Kyung (Department of Radiology, Soonchunhyang University Hospital)
  • 차장규 (순천향대학교 의과대학 부속 부천병원 영상의학과) ;
  • 유재호 (서울 스카이병원 정형외과) ;
  • 김희경 (순천향대학교 의과대학 부속 부천병원 병리과) ;
  • 백상현 (순천향대학교 의과대학 부속 부천병원 영상의학과) ;
  • 홍현숙 (순천향대학교 의과대학 부속 부천병원 영상의학과) ;
  • 이혜경 (순천향대학교 의과대학 부속 부천병원 영상의학과)
  • Published : 2011.06.01
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Abstract

A Marjolin's ulcer refers to malignancies that developed in chronic venous ulcers, scars, or sinuses. We report three-dimensional computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET)-CT findings in a patient who developed skin cancer from a chronic leg ulcer. Although rare, on MR, a Marjolin's ulcer should be considered when a well-enhanced soft-tissue mass with a broad based skin ulcer shows a mass effect and invasion of the adjacent bone. CT angiography and PET-CT complement MRI for evaluating the nature of Marjolin's ulcers and may provide essential anatomical information, enabling the physician to design the optimal surgical approach or determining cancer staging.

A Marjolin's ulcer는 만성 정맥성 궤양, 흉터, 동(sinus)에서 발생한 악성 종양을 말한다. 저자들은 만성 하지궤양에 발생한 피부암 환자의 3차원 CT, MR, PET-CT 소견을 보고한다. A Marjolin's ulcer는 드물지만, 조영증강을 보이는 연부조직 종괴가 피부 궤양에 넓은 기저부를 형성하고 종괴 효과를 보이면서 궤양성 골종을 침범했을 경우 A Marjolin's ulcer를 의심해야 한다. CT angiography와 PET-CT 영상을 통해서 A Marjolin's ulcer의 특성을 평가하는데 MR영상을 보완할 수 있었고 필수적인 해부학적 정보를 제공 함으로써 효과적인 외과적 계획 수립과 종양의 병기 결정을 도움을 줄 수 있었다.

Keywords

References

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