Squamous Cell Carcinoma On Buruli Ulcer Graft Scar, Ivory Coast - Abstract
Buruli ulcer is an infectious necrotizing panniculitis due to Mycobacterium ulcerans which heals leaving scars. On these scars, squamous cell carcinoma may occur in the long term, even in case of skin grafting. We report a case of squamous cell carcinoma occurring on a directed buruli ulcer scar. Observation: A 35-year-old patient with a history of buruli ulcer healed with a skin graft in a specialized center for about 13 years, consulted for a cauliflower-like ulcerating swelling on the left elbow. The examination showed a large ulcerating cauliflower-like swelling. The diagnosis of squamous cell carcinoma was retained, and an amputation was performed without chemotherapy. There was no recurrence after six months of follow-up. Conclusion: After a good healing, Buruli ulcer seems to present a risk of long-term evolution towards cancer. This observation raises the question of the carcinogenic role of mycobacterium ulcerans.