Category: Clinical Sciences/Health Conditions
Awareness of the potential for an ulcer to become a Marjolin’s ulcer is important for chronic wound management. We describe here two cases of chronic ulcers progressing to malignant transformation with two completely different scenario and injury pattern.
First case was a 41 years old male, a 24 years old traumatic paraplegia with bladder bowel involvement with ulcers, one in dormant stage at right gluteal region, another as fungating mass at outer inferior quadrant of left gluteal region, with evolution of the second wound as a neoplastic mass. Second case was a 15 year old traumatic knee injury with open wound which resulted in insensate foot and chronic osteomyelitis with recurrent ulcer with transformation to malignant ulcer.
The aim of the treatment for cutaneous squamous cell carcinoma (cSCC) is the complete eradication of the tumor or metastases when possible. The diagnosis of cSCC should always be considered and ruled out in a chronic non-healing lesion.
GANESH YADAV– ASSISTANT PROFESSOR, PHYSICAL MEDICINE AND REHABILITATION, KING GEORGE MEDICAL UNIVERSITY, UP, LUCKNOW
SNIGDHA MISHRA– Resident, King George's Medical University
ANIL GUPTA– Professor & Head, Physical Medicine & Rehabilitation, King George's Medical University,LUCKNOW
DILEEP KUMAR– ASSOCIATE PROFESSOR, PHYSICAL MEDICINE AND REHABILITATION, KING GEORGE MEDICAL UNIVERSITY, UP, LUCKNOW
SUDHIR MISHRA– ASSISTANT PROFESSOR, PHYSICAL MEDICINE AND REHABILITATION, KING GEORGE MEDICAL UNIVERSITY, UP, LUCKNOW