- Visibility 682 Views
- Downloads 643 Downloads
- Permissions
- DOI 10.18231/j.ijpo.2025.034
-
CrossMark
A rare presentation of Marjolin ulcer in burn scar in popliteal fossa
- Author Details:
-
Ritwik Kaushik
-
Ankush Nayyar *
Ritwik Kaushik
Ankush Nayyar *
The squamous cell carcinoma in a long-standing chronic scar is a well-known clinical entity. Such lesions are also called Marjolin’s ulcer (MU). Marjolin’s ulcer can form following any trauma, unattended wounds, but most commonly burn scars which were left ungrafted. In this case report, we present a case of Marjolin’s ulcer with an unusual clinical presentation. A patient was referred to the Department of plastic surgery due to flexion deformity of his right knee and associated chronic unattended scar. The biopsy suggested well differentiated squamous cell carcinoma. Thereafter, wide local excision and split skin grafting (SSG) was done. This case is unique in terms of its usual presentation and long latency of around 45 years.
Keywords: Marjolin’s ulcer, Chronic scar, Squamous cell carcinoma, Split skin grafting, Burn scars.
References
- Alvarez Rio A, Roca Mas JO, Navarro Sanchez D, Monge Castresana I, Soroa Moreno GJ, Estrada Cuxart J. Aggressive Acute Marjolin's Ulcer Arising in a Burn Scar. Case Rep Dermatol Med. 2022;2022:8329050.
- Abdi MA, Yan M, Hanna TP. Systematic Review of Modern Case Series of Squamous Cell Cancer Arising in a Chronic Ulcer (Marjolin's Ulcer) of the Skin. JCO Glob Oncol. 2020;6:809–18.
- Kanth AM, Heiman AJ, Nair L, Giammarino A, Carpenter C, Ricci JA, Patel A. Current Trends in Management of Marjolin's Ulcer: A Systematic Review. J Burn Care Res. 2021;42(2):144–51.
- Aydoğdu E, Yildirim S, Aköz T. Is surgery an effective and adequate treatment in advanced Marjolin's ulcer? Burns. 2005;31(4):421–31.
- Pekarek B, Buck S, Osher L. A Comprehensive Review on Marjolin's Ulcers: Diagnosis and Treatment. J Am Col Certif Wound Spec. 2011;3(3):60–4.
- Treves N. The development of cancer in burn scars: an analysis and report of thirty-four cases. Surg Gynecol Obstet. 1930;51:749–82.
- Fleming MD, Hunt JL, Purdue GF, Sandstad J. Marjolin's ulcer: a review and reevaluation of a difficult problem. J Burn Care Rehabil. 1990;11(5):460–9.
- Sisti A, Pica Alfieri E, Cuomo R, Grimaldi L, Brandi C, Nisi G. Marjolin’s Ulcer Arising in a Burn Scar. J Burn Care Res. 2018;39(4):636–9.
- Pavlovic S, Wiley E, Guzman G, Morris D, Braniecki M. Marjolin ulcer: an overlooked entity. Int Wound J. 2011;8(4):419–24.
- Metwally IH, Roshdy A, Saleh SS, Ezzat M. Epidemiology and predictors of recurrence of Marjolin’s ulcer: experience from Mansoura Universityxs. Ann R Coll Surg Engl. 2016;99(3):245–9.
- Choi JY, Bae YC, Nam SB, Bae SH. Impact of Disturbed Wound Healing after Surgery on the Prognosis of Marjolin's Ulcer. Arch Plast Surg. 2013;40(3):198–202.