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A diabetic patient with a leg ulcer
Published in Tim French, Terry Wardle, The Problem-Based Learning Workbook, 2022
A special case is ‘Marjolin’ ulcer, which is caused by malignant transformation occurring in a previous chronic ulcer or old scar. Any change in a chronic wound should therefore be viewed with suspicion.
Questions 1–20
Published in Anna Kowalewski, SBAs and EMQs in Surgery for Medical Students, 2021
This is likely to be a Marjolin’s ulcer, an aggressive squamous cell carcinoma that occurs in scarred skin. It grows slowly and is painless (no nerve tissue), and there is an absence of lymphatic spread because of local destruction. Treatment is wide excision of the lesion.
SBA Answers and Explanations
Published in Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury, SBAs for the MRCS Part A, 2018
Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury
A chronic venous ulcer may rarely undergo metaplasia to form an ulcerating squamous cell carcinoma, which is called a Marjolin’s ulcer. In 1828, Dr Jean Nicolas Marjolin first described the occurrence of ulcerating lesions within scar tissue. Marjolin’s ulcer is the term given to these aggressive epidermoid tumours that arise from areas of chronic injury (burn injuries, osteomyelitis, post-radiotherapy).
Medial sural artery perforator flap in reconstruction of soft tissue defect in upper and lower extremities: a clinical study
Published in Alexandria Journal of Medicine, 2020
Shereif Ibrahim Salah Eldin Hegazy, Nasser Ahmed Gozlan, Hossam Yehia Elkafrawi, Mohamed Mahmoud Elshafei, Hassan Mahmoud Kholosy
According to the size of perforators, we had 18 patients (90%) with good size perforators and 2 patients (10%) with unreliable perforators and we changed the plan intraoperative. The first patient had soft-tissue defect post-marjolin ulcer in the upper third of the left lower limb, and after excision with a safety margin during the elevation of the flap we found a small-caliber perforator and we changed the plan intraoperative. The second patient is a child with a crush left hand and after debridement and elevation of the flap we found during microvascular anastomosis a small-caliber artery and we changed the plan intraoperative. In comparison with other research made by Toyserkani et al. [8], we found the same result but the research was made on 10 patients and in 9 patients (90%) the perforators were reliable and in one patient (10%) the perforator was very small so the plan was changed.