Carcinome Cuniculatum : à Propos de deux Cas et Revue de la Littérature

Terna Traore, Layes Toure, Kalifa Coulibaly, Souleymane Diallo, Aboubacar Diallo, Aristote Hans-Moevi

Abstract


RÉSUMÉ
La dégénérescence maligne de l’ostéomyélite chronique est une complication rare, grave et tardive. Son histopathogénie demeure inconnue, les infections chroniques associées aux facteurs inflammatoires locaux sont incriminés dans plus de 25% des processus néoplasiques. La triade clinique de dégénérescence maligne associant la douleur d’aggravation progressive, l’écoulement purulent et l’hémorragie doit suspectée cette pathologie. Le diagnostic est principalement anatomopathologique. La prise en charge rapide et radicale est la solution pour améliorer le pronostic qui reste le plus souvent réservé à cause de la fréquence des récidives.

ABSTRACT
Malignant degeneration of chronic osteomyelitis is a rare, serious and late complication. Its histopathogenesis remains unknown, chronic infections associated with local inflammatory factors are implicated in more than 25% of neoplastic processes. The clinical triad of malignant degeneration associating the pain of progressive aggravation, the suppurating discharge and the haemorrhage must suspect this pathology. The diagnosis is mainly anatomopathological. Rapid and radical management is the solution to improve the prognosis, which is most often reserved due to the frequency of recurrences.

Keywords


Ostéomyélite chronique, jambe, carcinome épidermoïde, transformation maligne, amputation

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References


- Moura DL, Ferreira R, Garruço A. Malignant transformation in chronic osteomyelitis. Rev Bras Ortop. 2017 Mar 8 ; 52 (2) : 141- 147.

- McKee PH, Wilkinson JD, Black MM, Whimster IW. Carcinoma (epithelioma) cuniculatum : a clinico-pathological study of nine teen cases and review of the literature. Histopathology.1981 ;5 :425-36.

- McGrory JE, Pritchard DJ, Unni KK, Ilstrup D, Rowland CM. Malignant lesions arising in chronic osteomyelitis. Clin Orthop Relat Res.1999 ;362 :181–9.

-Kerr-Valentic MA, Samimi K, Rohlen BH, Agarwal JP, Rockwell WB. Marjolin’s ulcer : modern analysis of an ancient problem. Plast Reconstr Surg. 2009 ;123(1) :184–91.

- Lazzarini L, Mader JT, Calhoun JH. Osteomyelitis in long bones. J Bone Joint Surg Am. 2004 ; 86 (10) : 2305 - 18.

- Sankaran-Kutty M, Corea Jr, Ali M, Kutty M. Squamous cell carcinoma in chronic osteomyelitis. Report of a case and review of the literature. Clin Orthop, 1985, 198, 264-267.

- Li Q, Cui H, Dong J, et al. Squamous cell carcinoma resulting from chronic osteomyelitis : a retrospective study of 8 cases. Int J Clin Exp Pathol. 2015 ; 8 (9) :10178–84.

- Sedlin E, Fleming J. Epidermoid carcinoma arising in chronic osteomyelitis foci. J Bone Joint Surg (Am). 1963 ; 45 : 827-838.

- Dereure O, Guillot B, Bonnel F, Barneon G, Montpoint S, Guilhou Jj. Dégénérescence carcinomateuse des fistules d’ostéomyélite chronique : Quatre observations. Ann Dermatol Venerol. 1993 ; 120 : 675-678.

- Lidgren L. Neoplasia in chronic fistulating osteitis. Acta Orthop Scand. 1973 ; 44 : 152-156.

- Theodorou SJ, Theodorou DJ, Bona SJ, Farooki S. Primary squamous cell carcinoma: an incidental toe mass. AJR Am J Roentgenol. 2005 ;184 (3 Suppl) : S110 -1.

- Mckechnie PS, John A. Anxiety and depression following traumatic limb amputation : a systematic review. Injury. 2014 ; 45 (12) :1859–66.

- Fitzgerald RH, Jr, Brewer NS, Dahlin DC. Squamouscell carcinoma complicating chronic osteomyelitis. J Bone Joint Surg (Am). 1976 ; 58 : 1146-1148.

- JM. Mendimi Nkodo, S. Takongmo, D. Akaba, C. Monabang Zoé, A. Fewou, AC. Kabeyene Okono, JL. Essame Oyono. Giant Osteosarcoma of Femur: a Well Documented Case with Management Difficulties in Yaounde (Cameroun). Health Sci. Dis. 2013 ; 14 (2) : 1-3.

- Diop K, Ly F, Diop A, Deme A, Diatta BA, Diop MTN, Seck B, Diousse P, Diallo M, Wade NF, Kane A. Carcinomes Épidermoïdes et Dépigmentation Cosmétique Volontaire : Encore de Nouveaux Cas au Sénégal, Plaidoyer pour une Prévention Efficiente ! Health Sci. Dis. 2019 ; 20 (6) Suppl 1 : 6.


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