{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:10:16Z","timestamp":1756282216324,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,9,18]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>A saree is a garment worn by women in the Indian subcontinent. It is usually wrapped around the body and secured over an ankle-length skirt (a petticoat). The petticoat is usually tied very tightly around the waist with a cord. The tight cord of the petticoat often leads to dermatoses related to chronic friction and maceration, resulting in dermatitis and depigmentation. In rare cases, chronic friction may lead to the development of squamous cell carcinoma. In the literature, these skin lesions, including malignant transformation, have been described as \u2018saree cancers\u2019, but it is the tightness of the cord tied around the waist that results in chronic inflammation that may result in malignant transformation. We report two cases of squamous cell carcinoma in women associated with tight petticoat cord ties\u2014\u2018petticoat\u2019 cancer.<\/jats:p>","DOI":"10.1136\/bcr-2024-262049","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T20:00:11Z","timestamp":1730836811000},"page":"e262049","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Petticoat cancer: Marjolin ulcer of the waist in South Asian women (a site-specific malignancy)"],"prefix":"10.1136","volume":"17","author":[{"given":"Kaveri","family":"Rusia","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2704-9165","authenticated-orcid":false,"given":"Bhushan","family":"Madke","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piyush","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Madhubani Medical College and Hospital, Madhubani, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yash","family":"Kashikar","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"2025082700402610000_17.11.e262049.1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s13193-020-01061-2","article-title":"Saree Cancer: a Rare Case","volume":"11","author":"Rai","year":"2020","journal-title":"Indian J Surg Oncol"},{"key":"2025082700402610000_17.11.e262049.2","first-page":"QD01","article-title":"Can a tight saree wear cause cancer? - a rare case report","volume":"8","author":"Balasundaram","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"2025082700402610000_17.11.e262049.3","doi-asserted-by":"crossref","first-page":"170","DOI":"10.4103\/0974-2077.146676","article-title":"A rare case of synchronous saree cancer","volume":"7","author":"Naveen","year":"2014","journal-title":"J Cutan Aesthet Surg"},{"key":"2025082700402610000_17.11.e262049.4","doi-asserted-by":"crossref","DOI":"10.2340\/actadv.v103.11970","article-title":"Cutaneous Squamous Cell Cancer on the Waistline Associated with Saree-wearing: A Case Report and Literature Review","volume":"103","author":"Cernova","year":"2023","journal-title":"Acta Derm Venereol"},{"key":"2025082700402610000_17.11.e262049.5","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.4103\/jfmpc.jfmpc_113_19","article-title":"Dhoti cancer revisited","volume":"8","author":"Midya","year":"2019","journal-title":"J Family Med Prim Care"},{"key":"2025082700402610000_17.11.e262049.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2003.01210.x"},{"key":"2025082700402610000_17.11.e262049.7","first-page":"88","article-title":"Waist dermatoses in Indian women wearing saree","volume":"69","author":"Eapen","year":"2003","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"2025082700402610000_17.11.e262049.8","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/0002-9610(49)90319-0","article-title":"Marjolin\u2019s ulcer; a preventable threat to function and life","volume":"78","author":"Glover","year":"1949","journal-title":"Am J Surg"},{"key":"2025082700402610000_17.11.e262049.9","first-page":"896","article-title":"Saree cancer: the malignant changes in chronic irritation","volume":"6","author":"Lal","year":"2012","journal-title":"J Clin Diagn Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:40:36Z","timestamp":1756280436000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":9,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,5]]},"published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1136\/bcr-2024-262049"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262049","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}