This article describes a 81-year-old man with a possible malignant nodular swelling in the left neck and an ulcerative lesion on the scalp. Both were surgically removed for further histological diagnosis. Post operatively a non-healing wound of both scalp and the left neck persisted for a long time. The eventual diagnosis was pyoderma gangrenosum, a rare, idiopathic and ulcerative skin disease, which can clinically be mistaken for a malignancy. Early recognition of this ailment allows for an adequate conservative therapy and can avoid surgical therapy.

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Keywords Head and neck, Incomplete wound healing, Progressive disease, Pyoderma gangrenosum, Skin disease, Surgery
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Journal Het Nederlands Tijdschrift voor Keel- Neus- Oorheelkunde
Veder, L.L, Datema, F.R, Kemperman, P.M.J.H, & van der Velden, L.A. (2010). Stagnant wound healing after head and neck surgery: Better to turn back halfway than to get lost altogether! [Stagnerende wondgenezing na hoofd-halschirurgie: Beter ten halve gekeerd, dan ten hele gedwaald!]. Het Nederlands Tijdschrift voor Keel- Neus- Oorheelkunde, 16(1), 26–29. Retrieved from