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2016, Number 1

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Medisur 2016; 14 (1)

Marjolin's ulcer. A case report

Morales PS, Morales PR, Morales MT
Full text How to cite this article

Language: Spanish
References: 8
Page: 53-57
PDF size: 202.31 Kb.


Key words:

skin ulcer, leg ulcer, fractures, open, tibial fractures, skin neoplasms, case reports.

ABSTRACT

Marjolin's ulcer is rare and aggressive cutaneous malignancy that develops in previously traumatized or chronically inflamed skin. We present the case of a 43-year-old white man suffering from an exophytic bleeding ulcerated lesion on the distal third of the left leg where he already had a large scar from a compound fracture of the tibia and fibula complicated with chronic osteomyelitis. Surgical excision and biopsy were performed, showing a squamous cell carcinoma consistent with Marjolin's ulcer. We decided to present this case given the rare occurrence of the disease. We concluded that patients with this type of lesion should be subject to periodic examinations to prevent or treat potential recurrences.


REFERENCES

  1. Ellis H, Calne R, Watson C. Cirugía General. Diagnóstico y tratamiento. México: El Manual Moderno; 2012. p. 51-52.

  2. Rodríguez Morales JR, González Benavides C, García Rivero M. Úlcera de Marjolin. A propósito de cuatro casos. Medicentro Electrón [revista en Internet]. 2012 [ cited 24 Ene 2015 ] ; 16 (3): [aprox. 13p]. Available from: http://www.medigraphic.com/pdfs/medicentro/cm c-2012/cmc123k.pdf.

  3. Cardona Hernández MA, Fierro Arias L, González González M, Ávila Medrano L. Carcinoma epidermoide de alto riesgo originado en úlcera de Marjolin. Tratamiento alternativo con radioterapia. Dermatol Rev Mex. 2014 ; 58: 267-73.

  4. García Morales I, Pérez Gil A, Camacho FM. Úlcera de Marjolin: carcinoma sobre cicatriz por quemadura. Actas Dermosifiliogr. 2006 ; 97 (8): 529-32.

  5. Altunay I, Çerman AA, Sakiz D, Ates B. Marjolin´s Ulcer Presenting with In-Transit Metastases: A Case Report and Literature Review. Ann Dermatol. 2015 ; 27 (4): 442-5.

  6. Leffell DJ, Grossman D. Squamous Cell Carcinoma. In: Goldsmith L, Wolff K, Katz S, Paller A, Gilchrest B, Leffell DJ. Fitzpatrick’s Dermatology in General Medicine. 8th. ed. Columbus: Mc Graw Hill; 2012.

  7. Chalya PL, Mabula JB, Rambau P, Mchembe MD. Marjolin’s ulcers at a university teaching hospital in Northwestern Tanzania: a retrospective review of 56 cases. World J Surg Oncol. 2012 ; 10: 38.

  8. Matsushita S, Kawai K, Tada K, MeraKkubo H, Kubo H, Ibusuki A, et al. Metastatic cutaneous squamous cell carcinoma treated succesufully with surgery, radiotherapy and S-1/cisplatin chemotherapy. J Dermatol. 2010 ; 37 (7): 666-70.




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Medisur. 2016;14