Related Experiment Videos
Marjolin's ulcer on the nose
1Plastic and Reconstructive Surgery Department, Medical Faculty, Adnan Menderes University, 09100, Aydin, Turkey. copcu@mailcity.com
Burns : Journal of the International Society for Burn Injuries
|November 6, 2002
Summary
Marjolin's ulcer, a rare skin cancer, typically affects burn scars on extremities. This case report details the first instance of this malignancy occurring on a post-burn nose scar, specifically a basal cell carcinoma.
Area of Science:
- Dermatology
- Oncology
- Plastic Surgery
Background:
- Marjolin's ulcer is a malignancy arising in scars, most commonly from burns.
- Squamous cell carcinoma is the predominant type, typically affecting extremities and scalp due to chronic irritation.
- Unusual locations and rare subtypes present diagnostic and management challenges.
Observation:
- A 54-year-old male presented with a 2-year history of an unhealed ulcer on his nose.
- The ulcer developed 33 years after an initial burn injury.
- Histopathological examination revealed a basal cell carcinoma (baso-squamotic type).
Findings:
- This case represents the first documented instance of Marjolin's ulcer on the post-burned skin of the nose.
- The tumor was unusually located on the nasal area, a rare site for this condition.
- The specific subtype was basal cell carcinoma, adding to its rarity.
Implications:
- Highlights the importance of considering Marjolin's ulcer in chronic, non-healing wounds, even in atypical locations like the nose.
- Successful management involved surgical excision and reconstruction with a naso-labial transposition flap.
- This case expands the known spectrum of Marjolin's ulcer presentation and underscores the need for vigilance in managing long-term burn scars.