Extensive sacral radiation carcinoma superimposed on “bathing trunk” nevus

Abstract

The case presented is that of a thirty-seven year old woman with an extensive, squamous epitheliomatous sacral ulcer which appeared thirty-two years after radiation treatment of a benign, hairy “bathing trunk” nevus. Present therapy consisted of wide and deep excision down to the sacral periosteum with primary, one-stage repair with split-thickness grafts. There is no evidence of recurrence more than one year postoperatively.