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Malignant change after 18 months in a lower limb ulcer: acute Marjolin's revisited
D Thio1, J H W Clarkson, A Misra
1Department of Plastic Surgery, George Eliot Hospital NHS Trust, College Street, Nuneaton CV 10 7DJ, UK.
Abstract:
Lower limb ulcers present a common clinical problem and are at risk of malignant change. A Marjolin's ulcer has traditionally been regarded as malignant change in a long standing ulcer and/or scar tissue. We report a case of Marjolin's degeneration that developed in an ulcer only 18 months following the initial injury. Such a short latent period has not been reported for over 70 years. This report highlights the possibility of early Marjolin's change and we propose a ranked diagnostic screen to aid in early identification of possible malignant change, based on the current published evidence.
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