RESULTS OF TREATMENT OF SCAR-TISSUE CARCI NOMA AND FISTULA CARCINOMA

Between 1971 and 1994, 27 patients with scar tissue and fistula carcin omas were operated on at the Berufsgenossenschaftliches Unfallkrankenh aus Hamburg. Of the seven patients who deceased, 4 died because of the ir carcinoma. The mean latency between injury and manifestation of the carcinoma was 27.2 years. The mean follow-up time of the 20 survivors was 7.2 years, all of them are without recurrent disease. Nine local excision were performed, one below-knee amputation was subsequently ne cessary and 15 primary amputations were carried out. The three decubit al carcinomas were so extensive that a complete resection could not be achieved. Lymphadenectomy is recommended if positive lymphnodes are p resent. Prophylactic lymphadenectomy appears to be helpful in the case of squamous-cell carcinoma subsequent to burns. Postoperative radiati on is not indicated.