PMC9666024_01
Exophytic ulcer 7-months after a thermic burn in the dorsal region. First patient visit to emergency department.
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fig1
The patient refers to a dermal burn 7 months ago that has worsened gradually despite multiple antibiotic treatments and local dressings with all kinds of antiseptics and bactericides in his primary care centre given by different medical teams (Figure 1).
Dorsal region after wide surgical extirpation and reconstruction with meshed split-thickness skin grafts.
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Postsurgery evolution was favourable, with the results after a 6-month follow-up shown in Figure 2.
PET-CT scan 6 months after first diagnosis showing two metastasic lymph nodes in the right axilla.
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fig3
A new PET-CT scan is performed, and the progression of the disease is acknowledged as the images are positive for malignancy in that axilla (Figure 3).