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Marjolin's ulcer--a diagnostic dilemma.
Shubhangi V Agale1, Dattaguru R Kulkarni, Arvind G Valand
1Department of Pathology, Grant Medical College, Mumbai-400 008.
The Journal of the Association of Physicians of India
|March 10, 2010
Summary
Marjolin's ulcer is malignant transformation of chronic wounds. Early detection is crucial, as symptoms like increased pain or bleeding signal potential malignancy in non-healing ulcers.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Marjolin's ulcer represents malignant transformation within chronic wounds, often overlooked.
- Delayed diagnosis is common as these lesions mimic typical chronic ulcers.
Observation:
- A 60-year-old female presented with a chronic ulcer on her sole, resulting from a previous trauma.
- Clinical signs such as crusting, increased pain, size, and bleeding raised suspicion for malignancy.
Findings:
- The case highlights Marjolin's ulcer developing in a post-traumatic chronic sole ulcer.
- This underscores the importance of vigilance for malignant changes in persistent non-healing wounds.
Implications:
- Increased clinical suspicion for Marjolin's ulcer is vital in managing chronic ulcers.
- Prompt investigation and biopsy are essential for accurate diagnosis and timely treatment of malignant transformation.
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