MYIASIS IN A SUBMANDIBULAR METASTATIC SQUAMOUS CELL CARCINOMA ; A CASE REPORT

악하부에 전이된 편평상피암종에 발생한 승저증의 치험례

  • Park, So-Young (Dept. of Oral & Maxillofacial surgery, Keimyung University) ;
  • Kwon, Tae-Geon (Dept. of Oral & Maxillofacial surgery, Keimyung University) ;
  • Kim, Jong-Bae (Dept. of Oral & Maxillofacial surgery, Keimyung University) ;
  • Joo, Chong-Yoon (Dept. of Parasitology, School of Medicine, Keimyung University)
  • 박소영 (계명대학교부속 동산의료원 치과-구강악안면외과) ;
  • 권대근 (계명대학교부속 동산의료원 치과-구강악안면외과) ;
  • 김종배 (계명대학교부속 동산의료원 치과-구강악안면외과) ;
  • 주종윤 (계명대학교 의과대학 기생충학교실)
  • Published : 2000.10.30

Abstract

We report a case of myiasis on the left submandibular area after radiation therapy for squamous cell carcinoma. A 77-year-old man visited our hospital, 7 weeks after complicating a course of radiation therapy, had a 7cm diameter necrotic ulcer on the left submandible. The margin of the lesion were undermined by numerous interlinking passages containing 20 maggots. The maggots were removed by simple extraction and were identified as Calliphoridae Lucilia. The probable origin of the myiasis in this case was attributed to poor environmental condition and general weakness of the patient. Oppotunistic cutaneous myiasis can be prevented by protecting open wounds from flies, wound should not be left without a covering capable of excluding flies, especially in the summer month.

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