Microsurgical reconstruction in giant Marjolin’s ulcer of the popliteal region

Isabela S Caizer, Vlad A Bloancă, Tiberiu Bratu, Zorin Crăiniceanu

Abstract


Marjolin’s ulcers are the result of malignant transformation of chronically inflamed skin or damaged skin into squamous cell carcinoma. As the most common etiologies that arise from such a transformation, it is usually a burn scar. Our study focuses on the case of a female patient admitted to our hospital with giant Marjolin's ulcer of around 20x12 cm in the popliteal fossa. Wide excision followed by free flap reconstruction was proposed. The uniqueness of the case consisted in (i) the latency period of over 42 years, (ii) the lack of metastasis and (iii) the functionality issue as a result of the affected area.


Keywords


Marjolin’s ulcer; free flap; latissimus dorsi flap

Full Text:

PDF

References


Jayasree K, Quadri SS, Umamaheswar Rao BN, Kumar DK. Marjolin’s ulcer - dual lymph node metastasis with cystic degeneration: a rare presentation. Int Surg J 2014; 1(1):56-59.

Ochenduszkiewicz U, Matkowski R, Szynglarewicz B, Kornafel J. Marjolin’s ulcer: malignant neoplasm arising in scars. Rep Pract Oncol Radiother 2006; 11(3):135-138.

Pekarek B, Buck S, Osher L. A comprehensive review on Marjolin’s ulcers: diagnosis and treatment. J Am Coll Clin Wound Spec 2011; 3(3):60-64.

Marjolin NJ. Ulcère. Dictionnaire de medicine 1828; 21:31.

Treves N, Pack GT. The development of cancer in burn scars. Surg Gynecol Obstet 1930; 51:749-782.

Nthumba PM: Marjolin’s ulcers: theories, prognostic factors and their peculiarities in spina bifida patients. World J Surg Oncol 2010; 8:108.

Wysocki WM, Komorowski A, Wojewoda T, et al. Two different cases of Marjolin’s ulcer and recommendations for practice. TOSJ 2010; 2:83-85.

Davalos BA, Cortes-Flores AO, Bandera-Delago A. Malignant neoplasm in burn scar: Marjolin’s ulcer: report of two cases and review of the literature. Cir Cir 2008; 76:329-331.

Malheiro E, Pinto A, Choupina M. Marjolin’s ulcer of the scalp: case report and literature review. Ann Burns Fire Disasters 2001; 14:39-41.

Ochenduszkiewicz U, Matkowski R, Szynglarewicz B, et al. Marjolin’s ulcer: malignant neoplasm arising in scars. Rep Pract Oncol Radiother 2006; 11(3):135-138.

Opara KO, Otene IC. Majorlin’s Ulcers: A Review. TNHJ 2011; 11(4):107-111.

Sadikot RT, Blackwell TS, Christman JW, Prince AS. Pathogen–host interactions in Pseudomonas aeruginosa pneumonia. Am J Respir Crit Care Med 2005; 171(11):1209-1223




Copyright (c) 2018 Isabela S Caizer, Vlad A Bloancă, Tiberiu Bratu, Zorin Crăiniceanu

Creative Commons License
Archive of Clinical Cases is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

 

ISSN: 2360-6975