Case Study: Fungating Nodule Disease

Case Study Overview

Patient history

60 year old male with squamous cell carcinoma presenting as fungating wounds to left side of neck. Wounds had been present for 2 months, and were deteriorating. Patient was anxious and initially reluctant to have clinical support from specialist TVN, but after discussion agreed.

Initial assessment

The top wound measured 3.5cm in length x 2.8cm in width x 0.5cm in depth. The wound had very high levels of malodorous exudate, which meant that dressing changes were required 2-3 times per day.

Periwound skin was excoriated due to high exudate levels, and patient recorded pain levels of 2-4 on VAS.

Method

Odour management was crucial for this patient. MaxioCel treatment commenced for evaluation period of 4 weeks.

Results

Within 5 days of use of MaxioCel, dressing changes reduced from 2-3 times per day to daily, then to alternate days. Both exudate and odour reducing.

Within 14 days, patient reported no pain, and wound was bridging with granulation tissue.

By conclusion of the evaluation (28 days) slough was 100% removed, allowing DN’s to visualise depth of wound and clearly define wound management objectives.

Patient requested to continue with MaxioCel beyond 4 week evaluation period – a huge shift in confidence and treatment concordance from initial assessment. Observation continued – wound went on to heal with only a small sinus visible, no exudate and no odour reported.

fungating neck wound squamous cell carcinoma before and after treatment with MaxioCel

Conclusion

The ease of use of MaxioCel allowed the patient to continue to self care with the support of the district nurse team. The patient was pleased with treatment outcomes, and commented:

“I was very impressed with MaxioCel. It reduced the size of my wound in my neck very quickly .The fact that it didn’t stick to my skin when removing it was great. I wish to thank Sue and the team from the Christie for their help.”

 

“I was very impressed with MaxioCel. It reduced the size of my wound in my neck very quickly .The fact that it didn’t stick to my skin when removing it was great.”

Patient Feedback

References

A ten patient case study series of the impact of a 100% Chitosan based dressing with Bioactive Microfibre Gelling (BMG™) technology in individuals with oncology wounds, Susy Pramod, Wounds UK 2022