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Marjolin's ulcer in an amputation stump.
Gijsbert C Bloemsma1, Oren Lapid
1Department of Plastic Reconstructive and Hand surgery, Academic Medical Centre, University of Amsterdam, The Netherlands.
Summary
Marjolin's ulcers are rare skin cancers developing in scarred areas, often after burns. This case highlights a Marjolin's ulcer on a lower limb stump 68 years post-burn, emphasizing delayed diagnosis risks.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Marjolin's ulcers are uncommon malignancies arising from chronic skin injury.
- These ulcers are typically squamous cell carcinomas, frequently developing after burns.
- Delayed diagnosis is a concern, especially on prosthetic stumps.
Observation:
- A case report details a Marjolin's ulcer on a lower limb stump.
- The ulcer developed 68 years after an infancy burn.
- The patient used a prosthesis, potentially masking the diagnosis.
Findings:
- The presented case is a Marjolin's ulcer, a rare skin cancer.
- It occurred on a lower limb stump long after the initial burn injury.
- The ulcer was a squamous cell carcinoma.
Implications:
- This case underscores the importance of considering Marjolin's ulcers in chronic wounds, even decades later.
- Early diagnosis and treatment are crucial for improved prognosis.
- Awareness is needed regarding Marjolin's ulcers in patients with chronic skin conditions and prostheses.
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