[Epidermoid carcinoma arising in femoral osteitis. A case].
The authors report a case of malignant degeneration arising from a fistula in a patient with chronic osteomyelitis of the femur. This rare complication (0.2 per cent-1.6 per cent) most frequently involves the lower limb. A review of the literature reveals that it is associated with long-standing osteomyelitis (30 years), is most frequently a squamous cell carcinoma or rarely a sarcoma, and is principally treated by surgical amputation. The frequency of metastatic spread is low (30 per cent). Malignant degeneration appears to be a local phenomenon, and if diagnosed early, has a rather favorable outcome following complete excision.
Mabit
C
C
Service d'Orthopédie-Traumatologie I, CHRU Dupuytren, Limoges.
Huc
H
H
Setton
D
D
Leboutet
M J
MJ
Arnaud
J P
JP
Pecout
C
C
D000368:Aged; D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002471:Cell Transformation, Neoplastic; D005269:Femur; D006801:Humans; D008297:Male; D010000:Osteitis / Q000150:complications*; D011379:Prognosis
Carcinome épidermoïde sur ostéite du fémur: un cas.