ACUTE DEVELOPMENT OF INVASIVE SQUAMOUS-CELL CARCINOMA IN A SPLIT-THICKNESS SKIN-GRAFT DONOR SITE

Reports exist in the literature where metastasis or inadvertent operat ive spread has transferred excised squamous cell carcinoma, keratoacan thoma, and melanoma to skin graft donor sites. This report examines th e potential for the reverse to occur. A de novo squamous cell carcinom a developing in a split-thickness skin graft donor site within 5 weeks of harvest for acute burn coverage is presented. As repeated harvesti ng from this site was performed, the transplantation of carcinoma coul d have occurred. The etiology of this squamous cell carcinoma, the ris k of transplantation, and the 18-month follow-up are presented.