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.