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Marjolin's Ulcer After Saphenectomy: A Case Report
Carlos E Rodriguez1, Diego F Cardona1, Theresa W Rodriguez2
1General Surgery, Instituto de Pós Graduação Médica Carlos Chagas, Rio de Janeiro, BRA.
Cureus
|December 5, 2022
Summary
Marjolin's ulcer, a rare squamous cell carcinoma, can arise from chronic wounds like burn scars. Early treatment of ulcerative lesions is crucial for preventing this malignancy.
Area of Science:
- Dermatology
- Oncology
- Surgical Pathology
Background:
- Chronic wounds, particularly burn scars, carry a risk of malignant transformation.
- Squamous cell carcinoma is the most common malignancy arising in chronic wounds, termed Marjolin's ulcer.
- Marjolin's ulcer is a rare clinical entity with no definitive treatment protocol.
Observation:
- This case report details a rare Marjolin's ulcer in a 50-year-old male with a history of saphenectomy on the left leg.
- The patient underwent surgical excision and rotation flap reconstruction for the ulcer.
- The patient's ulcer developed on the site of a previous saphenectomy, not a typical burn wound.
Findings:
- The case highlights the development of Marjolin's ulcer in a non-burn chronic wound setting.
- Surgical intervention (excision and flap) was performed to manage the malignancy.
- The article discusses current treatment modalities for Marjolin's ulcer.
Implications:
- Timely treatment of chronic ulcerative lesions is paramount for preventing the development of Marjolin's ulcer.
- This case expands the known etiology of Marjolin's ulcer beyond common burn wounds.
- Further research into standardized treatment protocols for Marjolin's ulcer is warranted.
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