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Healing,Inflammation, and Fibrosis: When Benign Becomes Cancer: Malignant Degeneration of Chronic Inflammation
Authors:Christopher Conlon  Lauren Pupa  Edward M. Reece  Carrie K. Chu  Jessie Z. Yu  Joshua Vorstenbosch  Sebastian Winocour
Affiliation:1.Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas;2.School of Medicine, Baylor College of Medicine, Houston, Texas;3.Division of Plastic Surgery, Texas Children''s Hospital, Houston, Texas;4.Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Texas;5.Division of Plastic Surgery, McGill University, Montreal, Canada
Abstract:
Chronic inflammation, long implicated in the genesis of malignancy, is now understood to underlie an estimated 25% of all cancers. The most pertinent malignancies, to the plastic surgeon, associated with the degeneration of chronic inflammation include Marjolin''s ulcer, breast implant-associated large cell lymphoma, radiation-induced sarcoma, and Kaposi''s sarcoma. The cellular and genetic damage incurred by a prolonged inflammatory reaction is controlled by an increasingly understood cytokinetic system. Advances in understanding the chronic inflammatory cascade have yielded new therapeutics and therapeutic targets.
Keywords:chronic inflammation   malignant degeneration   Marjolin''s ulcer   BI-ALCL   radiation-induced sarcoma   Kaposi''s sarcoma
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