Saree cancer

Sari- skin cancer (English: saree cancer ) is a form of skin cancer that can along the hips of women who wear a sari, occur. The sari - cancer is caused by the constant skin irritation, which can also lead to dandruff or hypopigmentation. It is a rare cancer that occurs in general in the Indian subcontinent, where the sari as everyday dress of the women is widespread. The sari skin cancer is similar in the etiology Marjolin ulcer, by leading to chronic inflammation.

Etiology

The saree is a common dress of the women on the Indian subcontinent. It is an approximately 5.5 m long strip cloth made ​​of different materials such as cotton, silk, nylon, chiffon or other synthetic fibers. It is worn with a petticoat, which is girded with a thick Baummwollkordel around the hips. This clothing is usually worn for a lifetime. The sari lies in a humid and hot climate during the day constantly close to the skin of the hip region to where the skin is often contaminated with dust and sweat residues and inadequately cleaned. This leads to pigmentation and mild Hautschuppungen at the hips. This in turn produces a chronic irritation and gradual malignancy of the waist line.

Symptoms

The most common symptoms of Sari- skin cancer are the constant skin irritation with dandruff and pigmentation disorders at the waist line; these symptoms solidify and become chronic over time. It can open, non-healing ulcers, hypopigmented areas of skin or tumor-like lesions occur. These lesions may be associated with discharge of foul-smelling secretion.

Diagnosis, treatment and prevention

To confirm the diagnosis, a biopsy is required. In many cases, surgical removal of the tumor is seen with subsequent skin grafting as a method of choice.

An altered carrying method of the petticoat can help the Sari- makers, to prevent occurrence of the cancer. Such measures may be:

• Loosen the petticoat,
• Replacing the usual rope-like belt by a wider strap that better distributes the pressure on the skin,
• Constant adjustment of the tightening of the belt.

History of Medicine

1945 reported Khanolkar and Suryabai about a new kind of skin cancer with hypopigmented, thickened scars that had an increased potential for malignant lesions. They called this dhoti cancer, dhoti - cancer, which is close to the Sari- skin cancer. The dhoti is the traditional dress of Indian men leg, which is also wrapped around the hips. The term saree cancer was first used by a group of physicians to AS Ptil from Bombay Hospital in a publication of the Bombay Hospital Journal. Dermatological problems in the hip region with Indian women who wear the sari, had been previously described by other researchers. This type of skin cancer is now regarded as the equivalent of malignant degeneration of a chronic wound, as it was described in 1828 by Jean -Nicolas Marjolin.