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Skin cancers and wounds in the geriatric population: a review
Ostomy Wound Management, 04/22/09
Snyder RJ et al. - In a review of skin cancers and wounds in the geriatric population, this discussion will help clinicians decide when to biopsy chronic wounds.
Methods- Diagnosis of wound malignancy often remains elusive and is of particular concern in the geriatric population because the average age for presentation of squamous cell cancer (SCC) is 70 yrs.
- Basal and SCC, as well as Marjolin’s ulcer, may look like a chronic or acute wound, can develop in the wound itself, or be found in the scar tissue of these wounds.
- A complete patient history should include questions about sun exposure and personal and family history of skin cancer.
- Some wounds exhibit typical clinical signs of cancer — ie, raised borders, crusting — but many do not, making diagnosis more challenging.
- A punch, excisional, or ellipse biopsy from all ulcers and wounds that do not respond to appropriate protocols of care should be obtained.
- An accurate diagnosis is crucial to positive treatment outcomes.
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