33-year-old man
👉 sustained a burn injury to his left upper arm as a child
👉presented with a rapidly growing, fungating ulcer in the burn scar
Diagnosis?
👉 sustained a burn injury to his left upper arm as a child
👉presented with a rapidly growing, fungating ulcer in the burn scar
Diagnosis?
Answer
Marjolin's Ulcer
Marjolin's Ulcer
👉 biopsy of the mass 👉 invasive squamous-cell carcinoma consistent with Marjolin's ulcer
👉 underwent wide local excision and placement of a split-thickness skin graft
"
No evidence of tumor was identified in the sentinel lymph nodes
👉 underwent wide local excision and placement of a split-thickness skin graft
"
No evidence of tumor was identified in the sentinel lymph nodes
Dr. Jean Nicolas Marjolin first described the occurrence of ulcerating lesions within scar tissue in 1828.
Marjolin's ulcer is the term given to these aggressive epidermoid tumors that arise from areas of chronic injury
👉 burn wounds being a common site.
***
Approach 👇
Marjolin's ulcer is the term given to these aggressive epidermoid tumors that arise from areas of chronic injury
👉 burn wounds being a common site.
***
Approach 👇
Surgical treatment algorithm
sciencedirect.com/science/articl…
Clinicopathological evaluation of Marjolin ulcers over two decades
Malignant changes arising on the previously traumatized or chronically inflamed skin are defined as...
spandidos-publications.com/10.3892/wasj.2…
Marjolin's ulcer: A case report and literature review
There is currently no agreed standard for the definition, classification, etiology, pathological typ...
nejm.org/doi/10.1056/NE…
Marjolin's Ulcer | NEJM
Images in Clinical Medicine from The New England Journal of Medicine — Marjolin's Ulcer
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