Carcinome Cuniculatum : à Propos de deux Cas et Revue de la Littérature

RESUME La degenerescence maligne de l’osteomyelite chronique est une complication rare, grave et tardive. Son histopathogenie demeure inconnue, les infections chroniques associees aux facteurs inflammatoires locaux sont incrimines dans plus de 25% des processus neoplasiques. La triade clinique de degenerescence maligne associant la douleur d’aggravation progressive, l’ecoulement purulent et l’hemorragie doit suspectee cette pathologie. Le diagnostic est principalement anatomopathologique. La prise en charge rapide et radicale est la solution pour ameliorer le pronostic qui reste le plus souvent reserve a cause de la frequence des recidives. ABSTRACT Malignant degeneration of chronic osteomyelitis is a rare, serious and late complication. Its histopathogenesis remains unknown, chronic infections associated with local inflammatory factors are implicated in more than 25% of neoplastic processes. The clinical triad of malignant degeneration associating the pain of progressive aggravation, the suppurating discharge and the haemorrhage must suspect this pathology. The diagnosis is mainly anatomopathological. Rapid and radical management is the solution to improve the prognosis, which is most often reserved due to the frequency of recurrences.