[Cancerized phagedenic ulcers. A study about 19 cases observed in Dakar "Hôpital Principal" from 1961 to 1976 (author's transl)].

Cancerization is the main complication of phagedenic ulcers which are frequent in tropical areas. The detection of the turn towards cancer is generally too late because of social and psychological conditions. Patients of this study were civil servants and had beneficial of a comparatively early detection. The clinical, radiological and pathological features are described and the importance of the control of lymph nodes is emphasized. The surgical tactic is discussed according to each situation but it must be as conservative as possible, even if the amputation is only delayed since lymphatic dissemination is late and amputation eminently dramatic in the african context.