Ulcer of Marjolin. Case report

Authors

Keywords:

Marjolin's ulcer, post-burn scar, squamous cell carcinoma

Abstract

Introduction: Marjolin's ulcer is the result of malignant degeneration of post-burn scars. Its evolution is fatal if the diagnosis is late.
Case Report:
An 84-year-old patient was presented with a history of suffering from accidental burn injuries on 34% of her body from direct fire since she was 13 years old.  Recently she went to consultation for presenting a tumor on her face and her left shoulder on the old burned scar. An excisional biopsy was performed, with histopathological result of ulcerated squamous cell carcinoma, It was decided to performed exceresis of them. Her evolution was favorable without complications.
Conclusions:
A patient with a diagnosis of a Marjolin’s ulcer with a favorable evolution after removal was presented, which is considered of interest to medicine due to the novelty of the case and with the objetive of contributing to the timely diagnosis of this sickness.

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Author Biographies

Ninecta Pérez Breña, "Arnaldo Milian Castro" Clinical Surgical University Hospital, Santa Clara, Villa Clara, Cuba

First Degree Specialist in General Medicine and Plastic Surgery and Caumatology, MSc in Medical Emergencies in Primary Health Care. Instructor Professor.

Maileidys Aguila López, “Arnaldo Milián Castro” Clinical Surgical University Hospital. Santa Clara. Villa Clara. Cuba.

Specialist in General Medicine and third-year resident in Plastic Surgery and Caumatology.

Naivy Sanchez Vera, Hospital Militar “Manuel Piti Fajardo”. Santa Clara. Villa Clara. Cuba.

Especialista de I Grado en Medicina General Integral y Laboratorio Clínico. Profesor Asistente.

References

1. García Marín JA, Martínez Gómez DA, Campillo Soto A Aguayo Albasini JL. Úlcera de Marjolin: experiencia de 10 años en una unidad de pie diabético. Cirugía y Cirujanos. [Internet]. 2016 [citado 20/06/2023];84(4):340-343. Disponible en: https://www.elsevier.es/es-revista-cirugia-cirujanos-139-pdf-S0009741115001590

2. González Vargas I, Tamez Pedroza L, Facio Treviño JÁ, Pacheco-Molina C, Treviño García LA, Treviño Lozano MA et al. Úlcera de Marjolin y carcinoma espinocelular en paciente con antecedente de quemaduras. Cir Plast. [Internet]. 2021[citado 20/06/2023]; 31 (2): 72-76. Disponible en: https://www.medigraphic.com/pdfs/cplast/cp-2021/cp212e.pdf

3. Miquet RLM, Orozco JMA, Posada RDA, Chávez Mondragón MA. Úlcera de Marjolin. Rev Acta Médica. [Internet] 2019[citado 20/06/2023];20(3):1-7. Disponible en: https://www.medigraphic.com/pdfs/actamedica/acm-2019/acm193f.pdf

4. Cardona Hernández MÁ, González González M, Camacho Frausto LY, Campos GM, Gallegos Franco C. Úlcera de Marjolin y sepsis. Rev Cent Dermatol Pascua. [Internet] 2022 [citado 20/06/2023]; 31 (3): 94-98. Disponible en: https://www.medigraphic.com/pdfs/derma/cd-2022/cd223e.pdf

5. Chen B, Yue X, Zha W, Xu M, Gao Q, Wang F, et al. Analysis of Factors Affecting Chronic Ulcers of Scalp Transforming into Marjolin’s Ulcer: A Single Center Experience. J Burn Care Res [Internet]. 2020 [cited 21/06/2023];41(6):1279–89. Available from: https://pubmed.ncbi.nlm.nih.gov/32514559/

6. García Morales I et al. Úlcera de Marjolin: carcinoma sobre cicatriz por quemadura. Actas Dermosifiliogr. [Internet] 2006 [citado 20/06/2023];97(8):529-32 Disponible en: https://www.actasdermo.org/es-pdf-13093754

7. Segura Marín H, Segura Feria HJ, López Ramos ÓA, Frutos Colín D, Rojas Guevara PA, Pérez Damián V. Úlcera de Marjolin, escenario final en la evolución de una úlcera venosa crónica. Rev. mex. angiol. [revista en la Internet]. 2022 Dic [citado 25/07/2023] ; 50( 4 ): 150-154. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2696-130X2022000400150&lng=es

8. Pierini Ángel L, Brosut O, Aguilar F, Bonsembiante N, Etcheverry MG, Hyon FI. Carcinoma escamoso sobre cicatriz de laparostomía. Rev. argent. cir. [Internet]. 2015 Dic [citado 25/07/2023]; 107(4): 1-3. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S2250-639X2015000400005&lng=es.

9. Rodrigo Barrera C, Cristian Pozo U, Osvaldo Iribarren B, Marcelo Beltrán S, Carlos Barría M, Rene Mora O. Úlcera de Majorlin en cicatriz de quemadura: Manejo quirúrgico. Rev. Chilena de Cirugía. [Internet]. Abril 2009 [citado 08/07/2023]; 61(2):176-180. Disponible en: https://www.scielo.cl/pdf/rchcir/v61n2/art12.pdf

10. Khan K, Schafer C, Wood J. Marjolin Ulcer: A Comprehensive Review. Adv Skin Wound Care [Internet]. 2020 Dec 1 [cited 08/07/2023];33(12):629–34. Available from: https://journals.lww.com/aswcjournal/Fulltext/2020/12000/Marjolin_Ulcer__A_Comprehensive_Review.3.aspx

11. Manubens V, Utreras M, Bretón A, Pinto C, Molina R. Ulcera de Marjolin, reporte de caso. Rev Chil Dermatol. 2017; 33 (1):35.

12. Chaturvedi G, Gupta AK, Das S, Gohil AJ, Lamba S. Marjolin Ulcer. Ann Plast Surg [Internet]. 2019 Nov 1 [cited 08/07/2023];83(5):518–22. Available from: https://journals.lww.com/10.1097/SAP.0000000000001995

13. Oviedo López A. Úlcera de Marjolin: Revisión Exploratoria [tesis]. San Vicente del Raspeig: Universidad de Alicante; 2021.

14. Nicoara M, Bain K, Patel R, Jaikaran O, Hingorani A, Asher E. Malignant transformation of Nonhealing Ulcer-Basal Cell Carcinoma. Ann Vasc Surg. [Internet]. 2021 Jan [cited 08/07/2023];70:565.e7-10. Available from: https://doi.org/10.1016/j.avsg.2020.01.100

Published

2025-01-01

How to Cite

1.
Pérez Breña N, Aguila López M, Sanchez Vera N. Ulcer of Marjolin. Case report. Acta Méd Centro [Internet]. 2025 Jan. 1 [cited 2025 Jul. 3];19(1):e1947. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/e1947

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Section

Case Reports