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Malignant fungating wounds are associated with heavy exudate and malodor, and can thus have a devastating impact on the physical, psychological, and functional health of patients at the end of life. Management is typically limited to the use of more absorbent dressings and frequent changing of dressings. However, this method is associated with a large amount of time needed for wound care, and does not always resolve the problem of malodor. Herein, we report the use of an inexpensive ostomy pouch to manage facial fungating wounds caused by maxillary gingival carcinoma. The pouches are adhered to the skin, and collect a large amount of malodorous exudate for days without leaking. Fewer dressing changes and the absence of malodor result in an improved quality of life for the patient and family.
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http://dx.doi.org/10.1016/j.apjon.2022.02.006 | DOI Listing |
Turk J Surg
September 2025
Department of Surgical Oncology, OCMU Oncology Center - Mansoura University Faculty of Medicine, Mansoura, Egypt.
Objective: The deltopectoral (DP) flap was and still is a workhorse flap in the reconstruction of head and neck defects following tumor resection, even in the current era of free microvascular flaps.
Material And Methods: We retrospectively recruited, from a prospectively maintained database, all patients with a history of defect reconstruction using one-stage tunneled de-epithelialized fasciocutaneous DP flap following resection of head and neck cancer between June 2020 and June 2023. Patient and disease characteristics, surgery parameters, flap specifics, oncological outcomes, and follow-up data were analyzed and reported.
Cureus
July 2025
Internal Medicine, Moffitt Cancer Center, Tampa, USA.
Basal cell carcinoma (BCC), the most prevalent skin cancer, rarely metastasizes to the brain. Here, we report a case of a 63-year-old man with metastatic BCC complicated by a malignant fungating wound (MFW), a cancerous lesion seen in advanced diseases, and infection, resulting in brain abscesses and encephalopathy. The BCC initially involved the scalp and was treated with excision but later recurred and metastasized.
View Article and Find Full Text PDFStrahlenther Onkol
August 2025
Clinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Purpose: Malignant fungating wounds (MFW) are a distressing condition caused by aggressive tumor growth infiltrating the skin. Regularly causing pain, exudation, bleeding, edema and odor, they negatively affect the patients' quality of life (QoL). Radiotherapy (RT) can reduce MFW-associated symptoms and is routinely used in clinical settings, both in curative as well as palliative treatment regimes.
View Article and Find Full Text PDFSupport Care Cancer
July 2025
Brigham and Women's Hospital, Boston, MA, USA.
Purpose: Chronic fungating tumors inflict profound psychological and physical harm to patients, drastically diminishing their quality of life. However, robust quantitative data characterizing their common issues and survival are scarce. The aim of this study is to better characterize fungating wounds and to suggest management techniques.
View Article and Find Full Text PDFAdv Skin Wound Care
August 2025
Adam Astrada, DHSc, CNS, RN, is Assistant Professor, Department of Medical-Surgical, Emergency, and Critical Care Nursing, Faculty of Health Sciences, Esa Unggul University, Jakarta, Indonesia.