caa a22 4500 46321059X CHVBK 20180405153139.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00238-007-0131-0 doi (NATIONALLICENCE)springer-10.1007/s00238-007-0131-0 Basal cell carcinoma mimicking a chronic unstable scar in an adolescent patient with Kindler syndrome [Elektronische Daten] [Adrian Dragu, Giulio Ingianni, M. Megahed, C. Cedidi] We present the case of Kindler syndrome in a 17-year-old man. After excision, histomorphological analysis, and wound closure of a chronic unstable scar in the right popliteal region, a basal cell carcinoma was diagnosed accidentally. A malignancy was not suspected, although the patient already had biopsies, multiple trials of debridement, and skin grafting earlier elsewhere. While an initial attempt to close the defect with a microsurgical flap was abandoned, due to microvascular irregularities, a wound closure was achieved with a free skin graft. The postoperative histomorphologic analysis revealed the surprising diagnosis of a basal cell carcinoma, fortunately with free margins. At follow-up 1year later, the grafted area was stable, and there was no recurrent disease. A preoperative histomorphologic analysis of the complete excised chronic wound, especially in known skin disorders—regardless of young age—is mandatory. Furthermore, the presented case showed that an abnormal deposition of collagen, and enhanced coprostasis with migration of granulocytes, destroys the normal consistency of small vessels and presents a limitation for microsurgical procedures in these patients. Springer-Verlag, 2007 Kindler syndrome nationallicence Chronic unstable scar nationallicence Basal cell carcinoma nationallicence Dragu Adrian Department of Plastic and Hand Surgery, Aesthetic and Reconstructive Surgery, Helios University Clinic Wuppertal, University Clinic Witten/Herdecke, Witten, Germany aut Ingianni Giulio Department of Plastic and Hand Surgery, Aesthetic and Reconstructive Surgery, Helios University Clinic Wuppertal, University Clinic Witten/Herdecke, Witten, Germany aut Megahed M. Department for Dermatology, RWTH University, Aachen, Germany aut Cedidi C. Department of Plastic, Reconstructive and Aesthetic Surgery, Klinikum Bremen-Mitte, Akademisches Lehrkrankenhaus der Universität Göttingen, St. Juergenstrasse 1, 28205, Bremen, Germany aut European Journal of Plastic Surgery Springer-Verlag 30/1(2007-06-01), 15-17 0930-343X 30:1<15 2007 30 238 https://doi.org/10.1007/s00238-007-0131-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-007-0131-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dragu Adrian Department of Plastic and Hand Surgery, Aesthetic and Reconstructive Surgery, Helios University Clinic Wuppertal, University Clinic Witten/Herdecke, Witten, Germany aut NATIONALLICENCE 700 1- Ingianni Giulio Department of Plastic and Hand Surgery, Aesthetic and Reconstructive Surgery, Helios University Clinic Wuppertal, University Clinic Witten/Herdecke, Witten, Germany aut NATIONALLICENCE 700 1- Megahed M. Department for Dermatology, RWTH University, Aachen, Germany aut NATIONALLICENCE 700 1- Cedidi C. Department of Plastic, Reconstructive and Aesthetic Surgery, Klinikum Bremen-Mitte, Akademisches Lehrkrankenhaus der Universität Göttingen, St. Juergenstrasse 1, 28205, Bremen, Germany aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 30/1(2007-06-01), 15-17 0930-343X 30:1<15 2007 30 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer