Malignancy in chronic osteomyelitis of the foot and ankle (case series)
Introduction Carcinomatous degeneration is a severe complication of chronic osteomyelitis. The exact mechanism of the malignant transformation remains unknown. This degeneration most often results from squamous cell carcinoma arising in chronic osteomyelitis. Early diagnosis and appropriate treatm...
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
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doaj-363aa039fcb248fe96e4469ace6148862020-11-25T02:22:03ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2019-12-0125451752210.18019/1028-4427-2019-25-4-517-522Malignancy in chronic osteomyelitis of the foot and ankle (case series)Nikolai M. Kliushin0Anatolii S. Sudnitsyn1Nikolai S. Migalkin2Tatyana A. Stupina3Nikita R. Suvorov4Russian Ilizarov Scientific CenterRussian Ilizarov Scientific CenterRussian Ilizarov Scientific CenterRussian Ilizarov Scientific CenterTikhvin Interdistrict Hospital named after A.F. Kalmykova", Leningrad Region, Tikhvin, Russian FederationIntroduction Carcinomatous degeneration is a severe complication of chronic osteomyelitis. The exact mechanism of the malignant transformation remains unknown. This degeneration most often results from squamous cell carcinoma arising in chronic osteomyelitis. Early diagnosis and appropriate treatment are essential for prognosis and final results in carcinomatous degeneration secondary to chronic osteomyelitis. Definitive treatment of chronic osteomyelitis and antimicrobial therapy are thought to be effective in prevention of malignant changes. Objective To identify diagnostic criteria for neoplastic disease in chronic osteomyelitis. Methods We reviewed 7 (2.75 %) patients aged 39 to 65 years who were treated for relapse of bone infection at the Clinic of Osteology Infection between 2017 and 2018. The average duration of the disease was 36 ± 6.42 years. A comprehensive examination performed for the patients on admission included radiographs of the involved limb segment, microbiological analysis of wound discharge, complete blood count, serum biochemistry panels, Doppler ultrasonography of the lower limb arteries and an excisional biopsy. Results Squamous cell carcinoma was diagnosed in the feet of all patients. Discussion The examinations performed were useful for identifying several diagnostic criteria for neoplastic process associated with pseudocarcinomatous hyperplasia in chronic osteomyelitis.http://ilizarov-journal.com/files/eng/2019_4_11_Eng.pdfchronic osteomyelitis in the footmalignancysquamous cell carcinomadiagnosis of squamous cell carcinoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nikolai M. Kliushin Anatolii S. Sudnitsyn Nikolai S. Migalkin Tatyana A. Stupina Nikita R. Suvorov |
spellingShingle |
Nikolai M. Kliushin Anatolii S. Sudnitsyn Nikolai S. Migalkin Tatyana A. Stupina Nikita R. Suvorov Malignancy in chronic osteomyelitis of the foot and ankle (case series) Гений oртопедии chronic osteomyelitis in the foot malignancy squamous cell carcinoma diagnosis of squamous cell carcinoma |
author_facet |
Nikolai M. Kliushin Anatolii S. Sudnitsyn Nikolai S. Migalkin Tatyana A. Stupina Nikita R. Suvorov |
author_sort |
Nikolai M. Kliushin |
title |
Malignancy in chronic osteomyelitis of the foot and ankle (case series) |
title_short |
Malignancy in chronic osteomyelitis of the foot and ankle (case series) |
title_full |
Malignancy in chronic osteomyelitis of the foot and ankle (case series) |
title_fullStr |
Malignancy in chronic osteomyelitis of the foot and ankle (case series) |
title_full_unstemmed |
Malignancy in chronic osteomyelitis of the foot and ankle (case series) |
title_sort |
malignancy in chronic osteomyelitis of the foot and ankle (case series) |
publisher |
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
series |
Гений oртопедии |
issn |
1028-4427 2542-131X |
publishDate |
2019-12-01 |
description |
Introduction Carcinomatous degeneration is a severe complication of chronic osteomyelitis. The exact mechanism of the malignant transformation
remains unknown. This degeneration most often results from squamous cell carcinoma arising in chronic osteomyelitis. Early diagnosis and appropriate
treatment are essential for prognosis and final results in carcinomatous degeneration secondary to chronic osteomyelitis. Definitive treatment of chronic
osteomyelitis and antimicrobial therapy are thought to be effective in prevention of malignant changes. Objective To identify diagnostic criteria for
neoplastic disease in chronic osteomyelitis. Methods We reviewed 7 (2.75 %) patients aged 39 to 65 years who were treated for relapse of bone infection
at the Clinic of Osteology Infection between 2017 and 2018. The average duration of the disease was 36 ± 6.42 years. A comprehensive examination
performed for the patients on admission included radiographs of the involved limb segment, microbiological analysis of wound discharge, complete
blood count, serum biochemistry panels, Doppler ultrasonography of the lower limb arteries and an excisional biopsy. Results Squamous cell carcinoma
was diagnosed in the feet of all patients. Discussion The examinations performed were useful for identifying several diagnostic criteria for neoplastic
process associated with pseudocarcinomatous hyperplasia in chronic osteomyelitis. |
topic |
chronic osteomyelitis in the foot malignancy squamous cell carcinoma diagnosis of squamous cell carcinoma |
url |
http://ilizarov-journal.com/files/eng/2019_4_11_Eng.pdf |
work_keys_str_mv |
AT nikolaimkliushin malignancyinchronicosteomyelitisofthefootandanklecaseseries AT anatoliissudnitsyn malignancyinchronicosteomyelitisofthefootandanklecaseseries AT nikolaismigalkin malignancyinchronicosteomyelitisofthefootandanklecaseseries AT tatyanaastupina malignancyinchronicosteomyelitisofthefootandanklecaseseries AT nikitarsuvorov malignancyinchronicosteomyelitisofthefootandanklecaseseries |
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