SA Orthopaedic Journal
Print version ISSN 1681-150X
BACKGROUND: We describe a very unusual presentation of bilateral post-burn contracture of hands that complicated into Marjolin's ulcers - squamous cell carcinoma. MATERIAL: A patient with bilateral squamous cell carcinoma post-burn scar. METHOD: The patient, with post-burn contractures of both hands, and chronic ulcerations, presented as a referral from one of our peripheral hospitals. A biopsy had been done at the referring hospital with histologic results of squamous cell carcinoma. The patient later had an excisional biopsy in our hospital that confirmed the diagnosis of squamous cell carcinoma of both hands. The patient also had a satellite lesion on the axilla; a biopsy was done that confirmed squamous cell carcinoma. RESULTS: The right hand was treated with a free flap that later sloughed on the periphery. CONCLUSION: To our knowledge bilateral squamous cell carcinoma of hands post-burn has not yet been reported in the literature and its presentation is a matter of discussion.
Keywords : post-burn; scar; Marjolin's ulcers; squamous cell carcinoma.